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Laparoscopic removal of an intrauterine device following colon perforation.
JSLS 2010 Jul-Sep; 14(3):456-8JSLS

Abstract

BACKGROUND

Intrauterine device (IUD) migration and colon perforation is a rare but serious complication occurring sometimes years after insertion. Laparoscopic removal of a colon-perforating device is a seldom-used approach.

CASE

A 35-year-old presented with right upper quadrant (RUQ) abdominal pain one year following intrauterine device (IUD) insertion. Upon vaginal examination, no IUD string was detected. An abdominal X-ray depicted the IUD in a position below the hepatic flexure. Abdominal computerized tomography (CT) scan suggested an IUD-like foreign object posterior and medial to the hepatic flexure. Colon perforation by an intrauterine device was diagnosed, the device was identified and removed, and the intestinal damage was repaired with a laparoscopic approach.

CONCLUSION

Clinical diagnosis and surgical removal of a perforating intrauterine device reduces the possible risks of abdominal complications this condition presents. In select cases, the laparoscopic approach for intrauterine device removal may be a simple and safe approach, thus minimizing possible postoperative complications.

Authors+Show Affiliations

Department of Surgery A, Carmel Medical Center, Haifa, Israel.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21333210

Citation

Bitterman, Arie, et al. "Laparoscopic Removal of an Intrauterine Device Following Colon Perforation." JSLS : Journal of the Society of Laparoendoscopic Surgeons, vol. 14, no. 3, 2010, pp. 456-8.
Bitterman A, Lefel O, Segev Y, et al. Laparoscopic removal of an intrauterine device following colon perforation. JSLS. 2010;14(3):456-8.
Bitterman, A., Lefel, O., Segev, Y., & Lavie, O. (2010). Laparoscopic removal of an intrauterine device following colon perforation. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 14(3), pp. 456-8. doi:10.4293/108680810X12924466006963.
Bitterman A, et al. Laparoscopic Removal of an Intrauterine Device Following Colon Perforation. JSLS. 2010;14(3):456-8. PubMed PMID: 21333210.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic removal of an intrauterine device following colon perforation. AU - Bitterman,Arie, AU - Lefel,Oleg, AU - Segev,Yakir, AU - Lavie,Ofer, PY - 2011/2/22/entrez PY - 2011/2/22/pubmed PY - 2011/5/11/medline SP - 456 EP - 8 JF - JSLS : Journal of the Society of Laparoendoscopic Surgeons JO - JSLS VL - 14 IS - 3 N2 - BACKGROUND: Intrauterine device (IUD) migration and colon perforation is a rare but serious complication occurring sometimes years after insertion. Laparoscopic removal of a colon-perforating device is a seldom-used approach. CASE: A 35-year-old presented with right upper quadrant (RUQ) abdominal pain one year following intrauterine device (IUD) insertion. Upon vaginal examination, no IUD string was detected. An abdominal X-ray depicted the IUD in a position below the hepatic flexure. Abdominal computerized tomography (CT) scan suggested an IUD-like foreign object posterior and medial to the hepatic flexure. Colon perforation by an intrauterine device was diagnosed, the device was identified and removed, and the intestinal damage was repaired with a laparoscopic approach. CONCLUSION: Clinical diagnosis and surgical removal of a perforating intrauterine device reduces the possible risks of abdominal complications this condition presents. In select cases, the laparoscopic approach for intrauterine device removal may be a simple and safe approach, thus minimizing possible postoperative complications. SN - 1086-8089 UR - https://www.unboundmedicine.com/medline/citation/21333210/Laparoscopic_removal_of_an_intrauterine_device_following_colon_perforation_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21333210/ DB - PRIME DP - Unbound Medicine ER -