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Wandering intrauterine contraceptive device: An unusual travel to the sigmoid colon.
Med J Malaysia 2015; 70(5):312-3MJ

Abstract

Intrauterine contraceptive device (IUCD) is common choice for contraception. Migration of IUCD is one of the complications that are encountered. Here we report a case of IUCD migration to the sigmoid colon. A 39-year-old Malay lady carrying a copper T type of IUCD presented with missing thread then underwent examination under anaesthesia, proceeded to hysteroscopy but failed removal. Abdominal ultrasound detected it in the left lower quadrant of abdomen. She then underwent diagnostic laparoscopy where the device was found to be embedded in the sigmoid colon. Technical difficulty necessitated conversion to mini laparotomy and sigmoidotomy to remove the IUCD and the bowel closed primarily. IUCD is a relatively simple and safe contraceptive procedure but possible complications are bleeding and pain that usually co-exist, pelvic infection, expulsion and perforation. Investigations should be based on clinical suspicion and migrated IUCD in symptomatic patients should be surgically removed whereas, asymptomatic patients can be managed conservatively under certain circumstances. However in the presence of a concurrent pathology that requires exploration then retrieval of the migrated IUCD should be undertaken.

Authors+Show Affiliations

Hospital Pakar Sultanah Fatimah, Department of Surgery, Jalan Salleh, 84000 Muar, Johor, Malaysia. alkums@hotmail.com.Hospital Pakar Sultanah Fatimah, Department of Surgery, Jalan Salleh, 84000 Muar, Johor, Malaysia.Hospital Pakar Sultanah Fatimah, Department of Surgery, Jalan Salleh, 84000 Muar, Johor, Malaysia.Hospital Pakar Sultanah Fatimah, Department of Surgery, Jalan Salleh, 84000 Muar, Johor, Malaysia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26556122

Citation

Kumarappan, A L., et al. "Wandering Intrauterine Contraceptive Device: an Unusual Travel to the Sigmoid Colon." The Medical Journal of Malaysia, vol. 70, no. 5, 2015, pp. 312-3.
Kumarappan AL, Karthikeyan M, Gunaseelan D, et al. Wandering intrauterine contraceptive device: An unusual travel to the sigmoid colon. Med J Malaysia. 2015;70(5):312-3.
Kumarappan, A. L., Karthikeyan, M., Gunaseelan, D., & Ros'aini, P. (2015). Wandering intrauterine contraceptive device: An unusual travel to the sigmoid colon. The Medical Journal of Malaysia, 70(5), pp. 312-3.
Kumarappan AL, et al. Wandering Intrauterine Contraceptive Device: an Unusual Travel to the Sigmoid Colon. Med J Malaysia. 2015;70(5):312-3. PubMed PMID: 26556122.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wandering intrauterine contraceptive device: An unusual travel to the sigmoid colon. AU - Kumarappan,A L, AU - Karthikeyan,M, AU - Gunaseelan,D, AU - Ros'aini,P, PY - 2015/11/12/entrez PY - 2015/11/12/pubmed PY - 2015/11/12/medline SP - 312 EP - 3 JF - The Medical journal of Malaysia JO - Med. J. Malaysia VL - 70 IS - 5 N2 - Intrauterine contraceptive device (IUCD) is common choice for contraception. Migration of IUCD is one of the complications that are encountered. Here we report a case of IUCD migration to the sigmoid colon. A 39-year-old Malay lady carrying a copper T type of IUCD presented with missing thread then underwent examination under anaesthesia, proceeded to hysteroscopy but failed removal. Abdominal ultrasound detected it in the left lower quadrant of abdomen. She then underwent diagnostic laparoscopy where the device was found to be embedded in the sigmoid colon. Technical difficulty necessitated conversion to mini laparotomy and sigmoidotomy to remove the IUCD and the bowel closed primarily. IUCD is a relatively simple and safe contraceptive procedure but possible complications are bleeding and pain that usually co-exist, pelvic infection, expulsion and perforation. Investigations should be based on clinical suspicion and migrated IUCD in symptomatic patients should be surgically removed whereas, asymptomatic patients can be managed conservatively under certain circumstances. However in the presence of a concurrent pathology that requires exploration then retrieval of the migrated IUCD should be undertaken. SN - 0300-5283 UR - https://www.unboundmedicine.com/medline/citation/26556122/Wandering_intrauterine_contraceptive_device:_An_unusual_travel_to_the_sigmoid_colon_ L2 - http://www.e-mjm.org/2015/v70n5/intrauterine-contraceptive-device.pdf DB - PRIME DP - Unbound Medicine ER -