Symptomatic Cecal Perforation by an Intrauterine Device With Appendectomy Removal

In Brief BACKGROUND: The intrauterine device is the most used contraceptive in the world, but it is not without risk of perforation of intra-abdominal organs. We report a perforation of the cecum and removal via appendectomy. CASE: A 23-year-old woman developed chronic abdominal pain after insertion of an intrauterine device 8 weeks postpartum. At laparoscopy, the device was found in the cecum and removed via appendectomy. CONCLUSION: Perforation is more common in the immediate postpartum state. An alternate method of removal via appendectomy proved useful. Symptomatic intrauterine device perforation of the cecum is a rare complication that may be managed with appendectomy.