Intrauterine Device Migration into the Lumen of Large Bowel: A Case Report

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2020 Jun 21

PMID 32563091

Citations 5

Authors

Vygintas Aliukonis

Marius Lasinskas

Algirdas Pilvelis

Audrius Gradauskas

Affiliations

Soon will be listed here.

Abstract

Introduction: Colon perforation caused by the intrauterine device (IUD) migration is rare, but severe complication that can occur years after the insertion. Depending on the location of the injured intestine, the different methods for extracting migrated IUD raging from colonoscopy to laparotomy can be chosen.

Case Presentation: A 41-year-old female presented with the discomfort in the epigastric area went to the outpatient clinic. A doctor performed gastroscopy and found a polyp. During a colonoscopy, we found a small solid object protruding through the intestinal wall. CT scan showed IUD like "T" shape foreign body, which longest part was protruding a wall of the colon. After these CT findings, the patient informed us that she had IUD inserted almost ten years ago. We found the device with the laparoscopic approach. IUD was removed and the intestinal damage was repaired during the mini-laparotomy.

Conclusions: Perforation of IUD can be asymptomatic, although sometimes it can cause short-term or long-term symptoms. Penetrated IUDs should be removed whenever identified. For intra-abdominal penetrations, the laparoscopic or mini-laparotomy approach is a safe and appropriate method.

Citing Articles

Migrated intra-uterine device to infra-umbilical skin: a rare case report.

Addis N, Sibhat Y, Molla Y, Mengestu W, Seid A, Damite M BMC Womens Health. 2024; 24(1):672.

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Case report: An intrauterine device hugging the musculus rectus abdominis through the center of a cesarean scar.

Jing J Front Surg. 2023; 9:956856.

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Rare case of rectal perforation by an intrauterine device: Case report and review of the literature.

Boushehry R, Al-Taweel T, Bandar A, Hasan M, Atnuos M, Alkhamis A Int J Surg Case Rep. 2022; 99:107610.

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Is It a "Colon Perforation"? A Case Report and Review of the Literature.

Lu S, Yao X, Shi J, Huang J, Zhuang S, Ma J Front Med (Lausanne). 2022; 9:817029.

PMID: 35360735 PMC: 8960373. DOI: 10.3389/fmed.2022.817029.

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