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Sigmoid colon penetration by an intrauterine device: a case report and literature review.
Mil Med 2014; 179(1):e127-9MM

Abstract

BACKGROUND

The intrauterine device (IUD) is one of the most effective contraceptive methods available today. However, IUDs can cause some serious complications, such as bleeding, uterine perforation, and bowel perforation. Migration into bowel is a rare but serious complication that requires surgical attention.

CASE

A 35-year-old multiparous female was diagnosed with IUD migration into the abdominal cavity. Upon diagnostic laparoscopy by gynecologic surgeons, sigmoid colon penetration by the IUD was strongly suspected. After confirmation of the penetration by abdominal computed tomography scan with oral/rectal and intravenous contrast and colonoscopy, she underwent sigmoid colon resection to retrieve the IUD without complications.

CONCLUSION

The symptoms of IUD migration can be nonspecific, requiring a high degree of suspicion. Also, cross-sectional imaging studies are recommended to rule out adjacent organ involvement if IUD migration is suspected.

Authors+Show Affiliations

Department of General Surgery, U.S. Naval Hospital Yokosuka, Japan, 1 Tomari, Yokosuka Kanagawa 238-0001, Japan.Department of General Surgery, U.S. Naval Hospital Yokosuka, Japan, 1 Tomari, Yokosuka Kanagawa 238-0001, Japan.Department of General Surgery, U.S. Naval Hospital Yokosuka, Japan, 1 Tomari, Yokosuka Kanagawa 238-0001, Japan.Department of General Surgery, U.S. Naval Hospital Yokosuka, Japan, 1 Tomari, Yokosuka Kanagawa 238-0001, Japan.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

24402999

Citation

Takahashi, Hideo, et al. "Sigmoid Colon Penetration By an Intrauterine Device: a Case Report and Literature Review." Military Medicine, vol. 179, no. 1, 2014, pp. e127-9.
Takahashi H, Puttler KM, Hong C, et al. Sigmoid colon penetration by an intrauterine device: a case report and literature review. Mil Med. 2014;179(1):e127-9.
Takahashi, H., Puttler, K. M., Hong, C., & Ayzengart, A. L. (2014). Sigmoid colon penetration by an intrauterine device: a case report and literature review. Military Medicine, 179(1), pp. e127-9. doi:10.7205/MILMED-D-13-00268.
Takahashi H, et al. Sigmoid Colon Penetration By an Intrauterine Device: a Case Report and Literature Review. Mil Med. 2014;179(1):e127-9. PubMed PMID: 24402999.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sigmoid colon penetration by an intrauterine device: a case report and literature review. AU - Takahashi,Hideo, AU - Puttler,Krista M, AU - Hong,Cheuk, AU - Ayzengart,Alexander L, PY - 2014/1/10/entrez PY - 2014/1/10/pubmed PY - 2015/4/7/medline SP - e127 EP - 9 JF - Military medicine JO - Mil Med VL - 179 IS - 1 N2 - BACKGROUND: The intrauterine device (IUD) is one of the most effective contraceptive methods available today. However, IUDs can cause some serious complications, such as bleeding, uterine perforation, and bowel perforation. Migration into bowel is a rare but serious complication that requires surgical attention. CASE: A 35-year-old multiparous female was diagnosed with IUD migration into the abdominal cavity. Upon diagnostic laparoscopy by gynecologic surgeons, sigmoid colon penetration by the IUD was strongly suspected. After confirmation of the penetration by abdominal computed tomography scan with oral/rectal and intravenous contrast and colonoscopy, she underwent sigmoid colon resection to retrieve the IUD without complications. CONCLUSION: The symptoms of IUD migration can be nonspecific, requiring a high degree of suspicion. Also, cross-sectional imaging studies are recommended to rule out adjacent organ involvement if IUD migration is suspected. SN - 1930-613X UR - https://www.unboundmedicine.com/medline/citation/24402999/Sigmoid_colon_penetration_by_an_intrauterine_device:_a_case_report_and_literature_review_ L2 - https://academic.oup.com/milmed/article-lookup/doi/10.7205/MILMED-D-13-00268 DB - PRIME DP - Unbound Medicine ER -