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Perforation of the rectum by a Copper-T intra-uterine contraceptive device; a case report.
Eur J Obstet Gynecol Reprod Biol 1990 May-Jun; 35(2-3):275-8EJ

Abstract

A case of a rare complication of a Copper-T intra-uterine contraceptive device (IUCD) producing uterine and rectal perforation is reported. The patient presented with the threads of the IUCD protruding through the anus and the device was removed from the rectum using a proctoscope. A review of the literature revealed only seven cases of perforation of the rectosigmoid by an IUCD in which the device was removed per rectum, and this report documents the first of such cases involving a Copper-T. Proctosigmoidoscopic evaluation is recommended whenever perforation of the rectosigmoid by an IUCD is suspected, since it may select those patients for whom rectal recovery of the IUCD is feasible, thus avoiding unnecessary surgical intervention.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Guillermo Grant Benavent Hospital, University of Concepción School of Medicine, Chile.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

2335263

Citation

Sepúlveda, W H.. "Perforation of the Rectum By a Copper-T Intra-uterine Contraceptive Device; a Case Report." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 35, no. 2-3, 1990, pp. 275-8.
Sepúlveda WH. Perforation of the rectum by a Copper-T intra-uterine contraceptive device; a case report. Eur J Obstet Gynecol Reprod Biol. 1990;35(2-3):275-8.
Sepúlveda, W. H. (1990). Perforation of the rectum by a Copper-T intra-uterine contraceptive device; a case report. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 35(2-3), pp. 275-8.
Sepúlveda WH. Perforation of the Rectum By a Copper-T Intra-uterine Contraceptive Device; a Case Report. Eur J Obstet Gynecol Reprod Biol. 1990;35(2-3):275-8. PubMed PMID: 2335263.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforation of the rectum by a Copper-T intra-uterine contraceptive device; a case report. A1 - Sepúlveda,W H, PY - 1990/5/1/pubmed PY - 1990/5/1/medline PY - 1990/5/1/entrez SP - 275 EP - 8 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur. J. Obstet. Gynecol. Reprod. Biol. VL - 35 IS - 2-3 N2 - A case of a rare complication of a Copper-T intra-uterine contraceptive device (IUCD) producing uterine and rectal perforation is reported. The patient presented with the threads of the IUCD protruding through the anus and the device was removed from the rectum using a proctoscope. A review of the literature revealed only seven cases of perforation of the rectosigmoid by an IUCD in which the device was removed per rectum, and this report documents the first of such cases involving a Copper-T. Proctosigmoidoscopic evaluation is recommended whenever perforation of the rectosigmoid by an IUCD is suspected, since it may select those patients for whom rectal recovery of the IUCD is feasible, thus avoiding unnecessary surgical intervention. SN - 0301-2115 UR - https://www.unboundmedicine.com/medline/citation/2335263/Perforation_of_the_rectum_by_a_Copper_T_intra_uterine_contraceptive_device L2 - https://linkinghub.elsevier.com/retrieve/pii/0028-2243(90)90173-X DB - PRIME DP - Unbound Medicine ER -