Peritoneal Carcinomatosis with Displaced IUCD


  • Pankaj Deka Dept. of Gynaecological Oncology,Dr. B. Borooah Cancer Institute, Guwahati, Assam, India
  • Amal Chandra Kataki Dept. of Gynaecological Oncology,Dr. B. Borooah Cancer Institute, Guwahati, Assam, India
  • Debabrata Barmon Dept. of Gynaecological Oncology,Dr. B. Borooah Cancer Institute, Guwahati, Assam, India
  • Bibhuti Bhushan Borthakur Dept. of Surgical Oncology, Dr. B. Borooah Cancer Institute, Guwahati, Assam, India
  • Sushruta Shrivastava Dept. of Gynaecological Oncology,Dr. B. Borooah Cancer Institute, Guwahati, Assam, India



Intrauterine contraceptive device (IUCD), Lippes loop, Peritoneal carcinomatosis, Adenocarcinoma, Chemotherapy.


Abstract: Intrauterine contraceptive device (IUCD) has been widely used as a safe, economic, effective and reversible method of contraception. IUCDs are generally well accepted with good compliance but complications sometime occur. Uterine perforation is a rare complication with an incidence of one in 1000 procedures. Whether a displaced IUCD in the peritoneum can lead to carcinogenesis is a matter of debate. We report a case of peritoneal carcinomatosis with displaced Lippes loop. A 70 year female with ascites who was diagnosed as peritoneal carcinomatosis and administered two cycle of chemotherapy presented to this institution for further management. She was evaluated, administered four more cycles of chemotherapy and taken for exploratory laparotomy. At laparotomy a Lippes loop was found adherent to the colon and omentum. Total abdominal hysterectomy, bilateral salpingo-oopherectomy, total omentectomy and transverse colon resection with end to end anastomosis was done. Post operative histopathology showed adenocarcinoma in colon and omentum located around the loop. Uterus, ovaries and rest of the bowel were free of disease. She received two more cycles of chemotherapy after operation. She has completed follow up of 6 weeks after completion of treatment with clinically no evidence of disease.


Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. Obstet Gynaecol Surg 1981; 36; 335-53.

Farr G, Amatya R, Acosta M, Ekwempu C, Kisninci H. Clinical performance of the TCu 380A and Lippes Loop IUDs in three developing countries. Contraception 1995; 52: 17-22.

Kandýrali E, Topcuoglu MA, Semercioz A, Metin A. Double intrauterine device: presented with protruding urethral stone. Marmara Med J 2008; 21: 61-63.

Hao-Ming C, Teng-Wei C, Chung-Bao H, et al. Intrauterine contraceptive device appendicitis: A case report. ISSn 1007-9327 CN 14-1219/R world J Gastroerol 2005; 11(34): 5414-15.

Mechanism of action, safety and efficacy of intrauterine devices. Report of a WHO scientific group. World health Organ Tech Rep Sec 1987; 753: 1.

Verma U, Verma N. Ovarian embedding of a transmigrated intrauterine device: a case report and literature review. Arch Gyne Obs 2009; 280: 275-78.

Darlongn LM, Panda S, Topna N, Hajong R. Colonoscopic retrieval of migrated Copper-T. J Min Ac Surg 2009; 5: 40-42.

Zieren J, Moebius B, Zieren B, Menenakos C. Combined laparoscopic colonoscopic approach for the removal of a migrated intrauterine contraceptive device penetrating the sigmoid colon. Gyne Surg 2006; 3: 223-25.

Bharathi RS, Chakladar A, Kumari P. Mystery of the missing loop MJAFI 2011; 67: 177-78.




How to Cite

Pankaj Deka, Amal Chandra Kataki, Debabrata Barmon, Bibhuti Bhushan Borthakur, & Sushruta Shrivastava. (2012). Peritoneal Carcinomatosis with Displaced IUCD . Journal of Cancer Research Updates, 1(2), 221–223.