Laparoscopic management of bowel perforation secondary to levonorgestrel-releasing intrauterine device migration: a case report and review of literature.

Autor: Han JH; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Yu EH; Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Joo JK; Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Kim MJ; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Choi JB; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Jung HJ; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Jo HJ; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea., Lee BC; Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Aug 30; Vol. 2024 (8), pp. rjae522. Date of Electronic Publication: 2024 Aug 30 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae522
Abstrakt: Bowel perforation secondary to a levonorgestrel-releasing intrauterine device is exceptionally rare. We present the case of a woman who exhibited abnormal findings during a colonoscopy examination. Despite undergoing an intrauterine device (IUD) insertion procedure for contraception in 2000, attempts for its removal in 2007 were unsuccessful due to the inability to locate the IUD. In 2022, she presented with intermittent hematochezia and lower left abdominal pain. Subsequent colonoscopy and abdominal computed tomography confirmed the presence of the IUD penetrating the uterine wall and entering the colon. Laparoscopic anterior resection was performed, and the patient's postoperative recovery was uneventful, indicating the viability of laparoscopic treatment as a valuable option.
Competing Interests: None declared.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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