Incomplete Removal of an Intrauterine Device Perforating the Sigmoid Colon

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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Incidental detection of intrauterine device in sigmoid colon and its removal with colonoscopy

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v16i4.33619 ◽

2017 ◽

Vol 16 (4) ◽

pp. 597-599

Author(s):

Ahmet Bozdag ◽

Onder Altas ◽

Abdurrahman Sahin ◽

Zeynep Ozkan

Keyword(s):

Developing Countries ◽

Abdominal Pain ◽

Sigmoid Colon ◽

Case Reports ◽

Intrauterine Device ◽

Medical Science ◽

Chronic Abdominal Pain ◽

High Efficacy ◽

Contraceptive Methods ◽

Low Costs

Intrauterine device (IUD) is one of the frequently used contraceptive methods in the developing countries, due to its high efficacy, low risks and low costs. However, it may cause some important complications. One of these complications is migration of IUD to adjacent organs. The migration of IUDs to sigmoid colon is rare and it is reported as case reports. In this article, we wanted to share the colonoscopic evaluation of a 38-year-old female patient who presented with chronic abdominal pain, meanwhile the detection of IUD in the sigmoid colon and its removal with colonoscopy.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.597-599

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Migration of intra caesarean intrauterine device to sigmoid colon: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195026 ◽

2019 ◽

Vol 7 (11) ◽

pp. 4404

Author(s):

Jharna Behura ◽

Sanjiva Kumar

Keyword(s):

Caesarean Section ◽

Sigmoid Colon ◽

Post Partum ◽

Rare Complication ◽

Intrauterine Device ◽

Uterine Wall ◽

Uterine Perforation ◽

Contraceptive Device ◽

Uterine Incision ◽

Long Acting

Post-partum intrauterine contraceptive device inserted during caesarean section provides long acting reversible contraception to women soon after birth. It is now well accepted for its safety and efficacy. Uterine perforation, which is one of the most serious complication of PPIUCD has rarely been reported following intracaesarean insertion. The thick uterine wall and placement under direct vision helps prevent perforation. However, migration of IUCD to peritoneal cavity, causing perforation of several adjacent organs can occur due to improper closure of the uterine incision. Migration to sigmoid colon is an extremely rare complication. Authors present the case of a 29-year-old woman who had a Cu T 380 A insertion during Caesarean section. After 12 months of insertion, the patient suffered abdominal pain gradually increasing in intensity and frequent episodes of bleeding per rectum. Laparoscopic exploration revealed IUCD perforating the sigmoid colon completely and adhesions of bowel loops to the sigmoid colon. Extraction using laparoscopic method by gently pulling the threads was unsuccessful and the patient was managed by laparotomy.

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A CASE OF PELVIC ACTINOMYCOSIS DUE TO LONG-TERM INSERTION OF AN INTRAUTERINE DEVICE CAUSING A SIGMOID COLON ANNULAR STRICTURE

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.64.2798 ◽

2003 ◽

Vol 64 (11) ◽

pp. 2798-2801

Author(s):

Masaaki MITSUTSUJI ◽

Takahisa YAMAMOTO ◽

Tohru NAKAI ◽

Junrou MIURA

Keyword(s):

Sigmoid Colon ◽

Intrauterine Device ◽

Pelvic Actinomycosis

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Sigmoid Colon Migration of an Intrauterine Device

Case Reports in Obstetrics and Gynecology ◽

10.1155/2014/207659 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Funda Akpinar ◽

Esra Nur Ozgur ◽

Saynur Yilmaz ◽

Oguzhan Ustaoglu

Keyword(s):

Sigmoid Colon ◽

Birth Control ◽

Primary Anastomosis ◽

Intrauterine Device ◽

Uterine Cavity ◽

Colonic Perforation ◽

Control Methods ◽

Colon Wall ◽

History Of ◽

Colonic Lumen

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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Laparoscopy approach to sigmoid colon perforation secondary to intrauterine device migration

Gynecological Surgery ◽

10.1186/s10397-021-01091-w ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Henry Robayo-Amortegui ◽

Marcela Rincon-Vanegas ◽

Adolfredo Ballestas-Blanquicet ◽

Jair Ruiz-Fonseca

Keyword(s):

Sigmoid Colon ◽

Intrauterine Device ◽

Colon Perforation ◽

Contraceptive Methods ◽

Colouterine Fistula ◽

Sigmoid Colon Perforation

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.

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