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

Overview

Journal Front Med (Lausanne)

Specialty General Medicine

Date 2022 Apr 1

PMID 35360735

Authors

Shuangshuang Lu

Xinyu Yao

Jun Shi

Jian Huang

Shaohua Zhuang

Junfang Ma

Yan Liu

Wei Zhang

Lifei Yu

Ping Zhu

Qiuwei Zhu

Ruxia Shi

Hong Zheng

Dong Shao

Yuyan Pan

Shizhen Bao

Li Qin

Lijie Huang

Wenjia Liu

Jin Huang

Affiliations

Soon will be listed here.

Abstract

Background: Intrauterine devices (IUDs) are commonly used as a contraceptive method. IUD migration and colon perforation are rare but serious complications occurring sometimes years after insertion.

Case: A 42-year-old woman with complaints of slight abdominal pain underwent a colonoscopy. Colonoscopy showed that a "nail" had penetrated the ascending colon wall and that an arm of the "nail" was embedded in the colon wall. We did not remove the "nail" rashly under colonoscopy. Considering the safety and effectiveness of the patient's operation, we were able to remove the "nail" easily by performing laparoscopic-endoscopic cooperative surgery (LECS) combined with hysteroscopy at the same time.

Conclusion: We report a case of successful removal of a colonic perforation device by colonoscopy, laparoscopy, and hysteroscopy, which is the first method used.

Citing Articles

Open surgical retrieval of intra-uterine contraceptive device perforating the ileum: A case report.

Almatary A, Alsharif A, Ghabisha S, Ahmed F, Badheeb M Int J Surg Case Rep. 2023; 109:108635.

PMID: 37552923 PMC: 10425888. DOI: 10.1016/j.ijscr.2023.108635.

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