Case of the Month #167: Intrauterine Contraceptive Device Migration to the Descending Sigmoid Colon after Uterine Perforation

2010 ◽  
Vol 61 (5) ◽  
pp. 299-301 ◽  
Author(s):  
Donald H. Taves ◽  
Andrew K. Sorsdahl ◽  
Jerome L. Jadd ◽  
Jaron J.R. Chong
Keyword(s):  
Sigmoid Colon ◽  
Intrauterine Contraceptive Device ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

scholarly journals Paucisymptomatic Migrated Intrauterine Contraceptive Device to the Sigmoid Colon: A Case Report

2018 ◽  
Vol 5 (10) ◽  
Author(s):  
Yahmadi Abdelwahed ◽  
Zenaidi Hakim ◽  
Hsayaoui Najeh ◽  
Rebii Saber ◽  
Mbarki Choaouki ◽  
...  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

scholarly journals Ileal Perforation after Intrauterine Device Insertion

2021 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Suleiman Ghunaim
Keyword(s):  
Intrauterine Device ◽  
Bowel Injury ◽  
Intrauterine Contraceptive Device ◽  
Transvaginal Sonography ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Clinical Surveillance ◽  
Device Placement ◽  
Device Use

The intrauterine contraceptive device is the second most popular form of contraception worldwide. Uterine perforations may rarely complicate intrauterine contraceptive device use and are believed to occur mostly at the time of insertion. In the majority of cases, perforations are not recognized by the operator and remain asymptomatic. In rare instances however, severe delayed complications involving adjacent organs may ensue. We report an unusual case of uterine perforation with bowel injury diagnosed two years after the insertion of a copper intrauterine contraceptive device. We aim to address the use of transvaginal sonography to confirm proper intrauterine contraceptive device placement following a technically challenging insertion, clinical surveillance, and prompt removal of an intraperitoneal intrauterine contraceptive deviceto prevent potential serious complications, such as bowel embedment. Keywords: Bleeding; Bowel injury; Contraception; Intrauterine contraceptive device; Uterine perforations. Abbreviations IUD: intrauterine contraceptive device; G2P2: Gravidity 2 Parity 2

scholarly journals Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

2018 ◽  
Vol 6 (11) ◽  
pp. 3756
Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose
Keyword(s):  
Bowel Perforation ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Intrauterine Contraceptive Device ◽  
Greater Omentum ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Minimally Invasive Surgical ◽  
Intrauterine Contraceptive ◽  
Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

2021 ◽  
Vol 15 (1) ◽  
pp. 1-6
Author(s):  
Elpida Samara ◽  
Kerry Howe-Bush ◽  
Mark Portet ◽  
David C Howlett
Keyword(s):  
Sigmoid Colon ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Major Complication ◽  
Unusual Complication ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Pelvic Magnetic Resonance Imaging ◽  
Intrauterine Contraceptive ◽  
And Migration

An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.

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