scholarly journals Laparoscopy approach to sigmoid colon perforation secondary to intrauterine device migration

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Henry Robayo-Amortegui ◽  
Marcela Rincon-Vanegas ◽  
Adolfredo Ballestas-Blanquicet ◽  
Jair Ruiz-Fonseca

AbstractCurrently, the intrauterine device (IUD) is one of the most used contraceptive methods worldwide, since it has shown to be effective and reversible. One of its complications is the migration of the device, which can affect close organs by perforating them. We present the case of a patient who presented a colouterine fistula secondary to an IUD migration.

2020 ◽  
Author(s):  
Henry Leonardo Robayo Amortegui ◽  
Diana Marcela Rincon Vanegas ◽  
Adolfredo Ballestas Blanquicet ◽  
Jair Ruiz Fonseca

Abstract Background Currently, the intrauterine device (IUD) is one of the most used contraceptive methods worldwide, since it has shown to be effective and reversible. One of its complications is the migration of the device, which can affect close organs by perforating them. Case We present the case of a patient who presented a colouterine fistula secondary to an IUD migration. Conclusion Laparoscopy is a surgical method that may be performed electively; it makes device removal and repair of affected organs possible with fewer complications.


2020 ◽  
Author(s):  
Henry Leonardo Robayo Amortegui ◽  
Diana Marcela Rincon Vanegas ◽  
Adolfredo Ballestas Blanquicet ◽  
Jair Ruiz Fonseca

Abstract Background Currently, the intrauterine device (IUD) is one of the most used contraceptive methods worldwide, since it has shown to be effective and reversible. One of its complications is the migration of the device, which can affect close organs by perforating them. Case We present the case of a patient who presented a colouterine fistula secondary to an IUD migration. Conclusion Laparoscopy is a surgical method that may be performed electively; it makes device removal and repair of affected organs possible with fewer complications.


2006 ◽  
Vol 39 (5) ◽  
pp. 620-625 ◽  
Author(s):  
Hiroaki Takeshita ◽  
Takashi Tsuji ◽  
Terumitsu Sawai ◽  
Shigekazu Hidaka ◽  
Shinichi Shibazaki ◽  
...  

2020 ◽  
Vol 7 (10) ◽  
pp. 3500
Author(s):  
Amrita Gaurav ◽  
Juhi Mishra ◽  
Om Kumari ◽  
Kavita Khoiwal ◽  
Farhanul Huda ◽  
...  

The term gossypiboma is used to describe a retained surgical sponge or gauge after surgery. The clinical features range from being asymptomatic to frank bowel obstruction, perforation and peritonitis. Radiological modalities also do not provide a definite diagnosis. We report a case of a 30-year-old lady who presented to the emergency room with recurrent surgical site infection. She had a history of caesarean section 5 months ago. Following the caesarean section, she developed superficial wound dehiscence which was re-sutured. At the present facility, the lady underwent Computed tomography (CT) scan and was suspected to have a foreign body around the gut. She was planned for an exploratory laparotomy. Upon laparotomy, a large thick-walled ileal loop with some unusual intra luminal mass was found. Dense adhesions were present between the ileal loop and sigmoid colon. Adhesiolysis led to an iatrogenic sigmoid colon perforation, around 2 cm length. On incision over the ileal loop, surgical sponge was retrieved. Ileal loop was resected along with perforated site with end-to-end ileo-ileal anastomosis was done. Primary repair of sigmoid colon perforation was done. Patient was stable in postoperative period. Although rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting with recurrent surgical site infection.


2004 ◽  
Vol 14 (2) ◽  
pp. 381-383
Author(s):  
H. Lin ◽  
C.-L. Chang ◽  
E.-Y. Huang ◽  
C.-C. Changchien

Radiation-induced colon perforation is a rare adverse effect caused by vascular and connective tissue injury to the rectosigmoid colon. It usually occurs a few months to years after radiotherapy for gynecological cancer. Herein, we present a patient who developed sigmoid colon perforation during concurrent chemoradiotherapy for cervical cancer. The patient was a 64-year-old clinical stage IIB woman who received concurrent chemoradiotherapy as a standard treatment. The chemotherapeutic protocol was cisplatin 50 mg/m2 and 5-fluorouracil 4000 mg, starting together with radiotherapy. After the completion of external beam radiation for 4500 cGy, the patient developed sigmoid colon perforation presenting with fecal peritoneum and sepsis. An emergency end ileostomy with resection of entire sigmoid colon was performed and the patient was discharged 3 months later in good condition. Clinicians must be highly suspicious of serious bowel perforation, even if the full dose of radiation has not been completed. Whether or not the chemotherapy was the trigger factor is in need of further clarification.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jun Iwabu ◽  
Tsutomu Namikawa ◽  
Hiroyuki Kitagawa ◽  
Toshichika Kanagawa ◽  
Junko Nakashima ◽  
...  

2007 ◽  
Vol 50 (9) ◽  
pp. 1478-1480 ◽  
Author(s):  
Pedro Belo-Oliveira ◽  
Luis Curvo-Semedo ◽  
Henrique Rodrigues ◽  
Pedro Belo-Soares ◽  
Filipe Caseiro-Alves

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