Open AccessSigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp
Author(s) -
Xinxin Zhou,
Mosang Yu,
Mengli Gu,
Weixia Zhong,
Huifeng Wu,
Feng Ji,
Hanghai Pan
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000009840
Subject(s) - medicine , sigmoid colon , colonoscopy , intrauterine device , complication , rectosigmoid colon , surgery , chromosomal translocation , rectum , radiology , family planning , population , research methodology , colorectal cancer , environmental health , cancer , biochemistry , chemistry , gene
Rationale: Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet. Patient concerns: This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the “polyp” was not able to be removed endoscopically. Diagnoses: Sigmoid colon translocation of an intrauterine device. Interventions: To further clarify the diagnosis, computed tomography (CT) scan was performed and the “polyp” was confirmed to be caused by a translocated IUD. Outcomes: The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation. Lessons: The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD.