Sigmoid Colon Penetration by an Intrauterine Device: A Case Report and Literature Review
| Autor: | Krista M. Puttler, Cheuk Hong, Alexander L. Ayzengart, Hideo Takahashi |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Sigmoid Diseases medicine.diagnostic_test business.industry Uterine perforation Public Health Environmental and Occupational Health Colonoscopy Sigmoid colon General Medicine Abdominal cavity medicine.disease Intrauterine device Intrauterine Device Migration Surgery medicine.anatomical_structure Intestinal Perforation Family planning IUD Migration medicine Humans Female Complication business Intrauterine Devices |
| Zdroj: | Military Medicine. 179:e127-e129 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-13-00268 |
| Popis: | Background: The intrauterine device (IUD) is one of the most effective contraceptive methods available today. However, IUDs can cause some serious complications, such as bleeding, uterine perforation, and bowel perforation. Migration into bowel is a rare but serious complication that requires surgical attention. Case: A 35-year-old multiparous female was diagnosed with IUD migration into the abdominal cavity. Upon diagnostic laparoscopy by gynecologic surgeons, sigmoid colon penetration by the IUD was strongly suspected. After confirmation of the penetration by abdominal computed tomography scan with oral/rectal and intravenous contrast and colonoscopy, she underwent sigmoid colon resection to retrieve the IUD without complications. Conclusion: The symptoms of IUD migration can be nonspecific, requiring a high degree of suspicion. Also, cross-sectional imaging studies are recommended to rule out adjacent organ involvement if IUD migration is suspected. |
| Databáze: | OpenAIRE |
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