espanolIntroduccion El dispositivo intrauterino es un metodo de planificacion muy usado en el mundo,sin embargo no esta exento de complicaciones una de esta es la perforacion uterina y migracion del DIU a la cavidad abdominal que aunque es poco frecuente tiene graves repercusiones clinicas y se ha estudiado su relacion con la adecuada o no insercion del dispositivo, el tamano y configuracion del utero, las anomalias o cirugias uterinas y el momento de la insercion tras el parto. Reporte de caso Presentamos el caso de una paciente femenina de 36 anos con cuadro de 12 horas de evolucion consistente en dolor en mesogastrio que se irradia a fosa iliaca derecha de intensidad 9/10 tipo peso, asociado a fiebre cuantificada en 38.9o. Se sometio a laparoscopia diagnostica con hallazgo de apendicitis aguda secundaria a obstruccion del lumen por DIU por lo que se realiza apendicectomia. Conclusion El tratamiento adecuado cuando se presenta esta complicacion, es la extraccion quirurgica ya sea por via laparoscopica o laparotomia para disminuir el riesgo complicaciones asociadas. EnglishIntroduction The intrauterine device is a planning method widely used in the world, however, it is not without complications, one of these is uterine perforation and migration of the IUD to the abdominal cavity, which although it is rare, has serious clinical repercussions and its study has been studied. relationship with the adequate or not insertion of the device, the size and configuration of the uterus, uterine anomalies or surgeries and the moment of insertion after delivery. Case report We present the case of a 36-year-old female patient with a 12-hour history of pain in the mesogastrium that radiates to the right iliac fossa of 9/10 weight intensity, associated with fever measured at 38.9o. He underwent diagnostic laparoscopy with a finding of acute appendicitis secondary to lumen obstruction by the IUD, so an appendectomy was performed. Conclusions The appropriate treatment when this complication occurs is surgical extraction either laparoscopically or laparotomy to reduce the risk of associated complications.
