Missing intrauterine device in the descending mesocolon: Retrieval under fluoroscopy guidance in a reference hospital in southern Nigeria

INTRODUCTION: Displaced/missing intrauterinedevice (IUD) is one of the known complicationsassociated with the uses of IUD. Missing IUD, evenwhen asymptomatic, is always of concern to patientsand relatives, and could result in serious morbidity.Retrieval of missing IUD depends on location,facility/equipment, surgeon’s skill and experience,and patient’s factor. Case report: A 36 year old multipara with missing IUD(LydiaTMCU 375 sleek) following treatment forintrauterine adhesions. With imaging studies, the IUDwas localized at different anatomical positions withtime giving an impressing of “mobile” missing IUD. Itwas subsequently retrieved in a purulent mass in thedescending mesocolon via a laparotomy aided with aC-arm fluoroscopy imaging peri/intraoperatively. Conclusion: Missing IUD could be lodged in unusualanatomical locations presenting diagnostic andtreatment challenges. Imaging aids with requisiteskills and experience may be required for goodmanagement. We believe this case is one of such,and sharing our experience will add to the body ofknowledg