Transmigration of An Intrauterine Device into Sigmoid Colon-surgical Management: a Case Report. | [Journal of Pakistan Medical Association • 2018]

Author(s):

1. Ahmad Kaleem: Mayo Hospital, Lahore, Pakistan

2. Balakh Sher Zaman: Mayo Hospital, Lahore, Pakistan

3. Muneeba Nasir: Mayo Hospital, Lahore, Pakistan

4. Azhar Hassan: Mayo Hospital, Lahore, Pakistan

Abstract:

We present the case of a 30 years old woman who had an Interauterine Device placed in a fragile uterus (puerperal period) 5 years ago and presented with dull abdominal pain and disturbed bowel habits. Failure to pull out IUD strings on gynecological examination made us suspicious of translocated IUD and its ectopic placement in sigmoid colon was confirmed on colonoscopy and a CT abdomen with contrast. The transmigrated IUD was removed following laparotomy.

Page(s): 1716-1718

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 68, Issue: 11, Year: 2018

Keywords:

case report , Sigmoid colon

References:

[1] UnitedNations,UnitedNations, 2007.,World Contraceptive Use -

[2] HeinbergEM,McCoyTW,PasicR., 2008.The Perforated Intrauterine Device: Endoscopic Retrieval,JSLS 12 97 -100

[3] SinhaM,GuptaR,TiwariA, 2013.Minimally invasive surgical approach to retrieve migrated intrauterine contraceptive device,Int J Repro Contracept Obstet Gynecol 2 147 -51

[4] IncebozUS,OzcakirHT,UyarY, 2003.Migration of an intrauterine contraceptive device to the sigmoid colon: a case report,Eur J Contracept Reprod Health Care 8 229 -32

[5] AWeerasekera,PWijesinghe, 2014.Sigmoid colocolic fistula caused by intrauterine device migration: a case report,J Med Case Rep 81 -

[6] 2012.Migration of intrauterine devices: radiologic findings and implications for patient care,Radiographics 32 335 -52

[7] BozkurtM,YumruAE,CoskunEI,OndesB, 2011.Laparoscopic management of a translocated intrauterine device embedded in the gastric serosa,J Pak Med Assoc 61 1020 -2

[8] ArchGynecol Obstet, 2009., 279 395 -7

[9] FRMosley,N Shahi, 2012.Elective surgical removal of migrated intrauterine contraceptive devices from within the peritoneal cavity: a comparison between open and laparoscopic removal,JSLS 16 236 -41

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