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IUD removal with colonoscopy: a case report.
J Reprod Med 2005; 50(7):547-9JR

Abstract

BACKGROUND

Intrauterine device (IUD) perforation of the bowel is uncommon. Although IUD perforation may be asymptomatic, the most common complaint is unexplained abdominal pain.

CASE

A case of IUD perforation of the large bowel was diagnosed 7 years after insertion. The patient presented with unexplained lower abdominal pain diagnosed initially as pelvic inflammatory disease. Laparoscopy revealed that the IUD was embedded deeply in the rectum. Bowel preparation and intravenous antibiotics followed by colonoscopy using a grasping snare resulted in successful IUD removal.

CONCLUSION

Patients presenting with IUDs embedded in the large bowel may benefit from attempted removal using colonoscopy rather than laparotomy. Bowel preparation, intravenous antibiotics and pos-textraction evaluation to rule out perforation may be prudent.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Florida Hospital Family Practice Residency Program, Orlando, Florida 32803, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16130855

Citation

Medina, Tanya M., et al. "IUD Removal With Colonoscopy: a Case Report." The Journal of Reproductive Medicine, vol. 50, no. 7, 2005, pp. 547-9.
Medina TM, Hill DA, DeJesus S, et al. IUD removal with colonoscopy: a case report. J Reprod Med. 2005;50(7):547-9.
Medina, T. M., Hill, D. A., DeJesus, S., & Hoover, F. (2005). IUD removal with colonoscopy: a case report. The Journal of Reproductive Medicine, 50(7), pp. 547-9.
Medina TM, et al. IUD Removal With Colonoscopy: a Case Report. J Reprod Med. 2005;50(7):547-9. PubMed PMID: 16130855.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - IUD removal with colonoscopy: a case report. AU - Medina,Tanya M, AU - Hill,D Ashley, AU - DeJesus,Samuel, AU - Hoover,Frederick, PY - 2005/9/1/pubmed PY - 2006/2/7/medline PY - 2005/9/1/entrez SP - 547 EP - 9 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 50 IS - 7 N2 - BACKGROUND: Intrauterine device (IUD) perforation of the bowel is uncommon. Although IUD perforation may be asymptomatic, the most common complaint is unexplained abdominal pain. CASE: A case of IUD perforation of the large bowel was diagnosed 7 years after insertion. The patient presented with unexplained lower abdominal pain diagnosed initially as pelvic inflammatory disease. Laparoscopy revealed that the IUD was embedded deeply in the rectum. Bowel preparation and intravenous antibiotics followed by colonoscopy using a grasping snare resulted in successful IUD removal. CONCLUSION: Patients presenting with IUDs embedded in the large bowel may benefit from attempted removal using colonoscopy rather than laparotomy. Bowel preparation, intravenous antibiotics and pos-textraction evaluation to rule out perforation may be prudent. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/16130855/IUD_removal_with_colonoscopy:_a_case_report_ L2 - https://medlineplus.gov/colonoscopy.html DB - PRIME DP - Unbound Medicine ER -