Sigmoid Colon Migration of an Intrauterine Device | Zendy

Funda Akpınar | Zendy; Esra Nur Ozgur | Zendy; Saynur Yılmaz | Zendy; Oguzhan Ustaoglu | Zendy

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Sigmoid Colon Migration of an Intrauterine Device

Author(s) -

Funda Akpınar,

Esra Nur Ozgur,

Saynur Yılmaz,

Oguzhan Ustaoglu

Publication year - 2014

Publication title -

case reports in obstetrics and gynecology

Language(s) - English

Resource type - Journals

eISSN - 2090-6684

pISSN - 2090-6692

DOI - 10.1155/2014/207659

Subject(s) - medicine , intrauterine device , sigmoid colon , colonoscopy , surgery , perforation , complication , granulation tissue , anastomosis , pelvic cavity , pelvic pain , uterine perforation , lumen (anatomy) , laparoscopy , rectum , colorectal cancer , family planning , population , research methodology , cancer , materials science , environmental health , punching , metallurgy , wound healing

Background. Intrauterine devices (IUD) are commonly used birth control methods. Colonic perforation is an infrequent but serious complication of IUD. Case. A 34-year-old woman with 2-years history of IUD, inserted at early puerperal period, presented to gynecologist with chronic pelvic pain and dyspareunia. Radiological assessment revealed that there were two copper-T devices: one in uterine cavity and another in the colonic lumen. Attempts of retrieval with colonoscopy and laparoscopy were unsuccessful. Intrauterine device embedded in sigmoid colon wall was removed with resection of the involved segment and primary anastomosis was performed. Conclusion. Although there are cases in literature that are successfully managed with colonoscopy, in chronic cases, formation of granulation tissue complicates retrieval of an IUD by this intervention.

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