A Displaced Intrauterine Device Eroding Into the Sigmoid Colon.

Autor:	Satoskar S; General Surgery, BronxCare Health System, Bronx, USA., Zhang E; Surgery, St. George's University, St. George's, GRD., Fan D; Surgery, BronxCare Health System, Bronx, USA., Teklu Y; General Surgery, BronxCare Health System, Bronx, USA., Riera Gonzalez C; General Surgery, BronxCare Health System, Bronx, USA., George Teressa S; Surgery, BronxCare Health System, Bronx, USA., Sikka A; Surgery, BronxCare Health System, Bronx, USA., Parikh HR; General Surgery, BronxCare Health System, Bronx, USA.; School of Medicine, St. George's University, St. George's, GRD., Lois W; Surgery, BronxCare Health System, Bronx, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 12; Vol. 16 (6), pp. e62238. Date of Electronic Publication: 2024 Jun 12 (Print Publication: 2024).
DOI:	10.7759/cureus.62238
Abstrakt:	A 36-year-old female presented to the gynecology office eight weeks after the placement of a ParaGard intrauterine device (IUD). Upon gynecologic examination, the strings of the IUD were not found. Magnetic resonance imaging was performed which reported the IUD embedded in the sigmoid colon. Initial diagnostic laparoscopy was done without bowel preparation and revealed an IUD embedded within the sigmoid colon and mesocolon. Colonoscopy did not reveal any breach of the colonic lumen. A second diagnostic laparoscopy was planned with the robotic-assisted technique after bowel preparation. Intraoperative findings during the second operation identified the IUD embedded in the antimesenteric side of the sigmoid colon with surrounding scar tissue to the uterus. The IUD was sharply freed using robotic scissors and the resulting serosal defect was sutured in layers with buttress made of appendices epiploica. The patient recovered well and had an excellent outcome. Our article highlights the minimally invasive method of dealing with a displaced IUD. The use of the robotic technique was helpful in our case to achieve an excellent outcome. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Satoskar et al.)
Databáze:	MEDLINE
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