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A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum.
Indian J Gastroenterol. 2016 Nov; 35(6):489-491.IJ

Abstract

A 45-year-old lady presented with left lower quadrant abdominal pain and hematochezia of 1 month duration. She had Copper-T, an intrauterine contraceptive device (IUCD) inserted in the immediate post-partum period 25 years ago elsewhere and was lost to follow up. CT abdomen done 2 weeks earlier before reporting to us revealed a migrated and translocated IUCD embedded in the right lateral wall of the rectum. On colonoscopy, an area of friable mucosal nodule was noticed in the right lateral wall 10 cm from the anal verge but the IUCD was not visible intraluminally. Fluoroscopy showed the horizontal limb lying in close approximation with the rectal wall and the vertical limb of the IUCD embedded at the site of mucosal nodule in the rectum. After a careful endoscopic mucosotomy, the vertical limb was exposed and the Copper-T in its entirety was retrieved using a polypectomy snare. The mucosal defect was closed with hemoclips. She became asymptomatic after the procedure.

Authors+Show Affiliations

Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India. tscmedindia@yahoo.com.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27796939

Citation

Chandrasekar, T S., et al. "A New Endoscopic Method of Retrieval of a Migrated and Transmurally Embedded Intrauterine Contraceptive Device in the Rectum." Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology, vol. 35, no. 6, 2016, pp. 489-491.
Chandrasekar TS, Gokul BJ, Yogesh KR, et al. A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum. Indian J Gastroenterol. 2016;35(6):489-491.
Chandrasekar, T. S., Gokul, B. J., Yogesh, K. R., Sathiamoorthy, S., Prasad, M. S., Viveksandeep, T. C., & Ali, M. A. (2016). A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum. Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology, 35(6), 489-491.
Chandrasekar TS, et al. A New Endoscopic Method of Retrieval of a Migrated and Transmurally Embedded Intrauterine Contraceptive Device in the Rectum. Indian J Gastroenterol. 2016;35(6):489-491. PubMed PMID: 27796939.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum. AU - Chandrasekar,T S, AU - Gokul,B J, AU - Yogesh,K Raja, AU - Sathiamoorthy,S, AU - Prasad,M S, AU - Viveksandeep,T C, AU - Ali,M Ahmed, Y1 - 2016/10/31/ PY - 2016/06/13/received PY - 2016/10/02/accepted PY - 2016/11/1/pubmed PY - 2017/9/22/medline PY - 2016/11/1/entrez KW - Copper-T migration KW - Endoscopic retrieval KW - Hematochezia KW - Intrauterine contraceptive device KW - Mucosotomy SP - 489 EP - 491 JF - Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology JO - Indian J Gastroenterol VL - 35 IS - 6 N2 - A 45-year-old lady presented with left lower quadrant abdominal pain and hematochezia of 1 month duration. She had Copper-T, an intrauterine contraceptive device (IUCD) inserted in the immediate post-partum period 25 years ago elsewhere and was lost to follow up. CT abdomen done 2 weeks earlier before reporting to us revealed a migrated and translocated IUCD embedded in the right lateral wall of the rectum. On colonoscopy, an area of friable mucosal nodule was noticed in the right lateral wall 10 cm from the anal verge but the IUCD was not visible intraluminally. Fluoroscopy showed the horizontal limb lying in close approximation with the rectal wall and the vertical limb of the IUCD embedded at the site of mucosal nodule in the rectum. After a careful endoscopic mucosotomy, the vertical limb was exposed and the Copper-T in its entirety was retrieved using a polypectomy snare. The mucosal defect was closed with hemoclips. She became asymptomatic after the procedure. SN - 0975-0711 UR - https://www.unboundmedicine.com/medline/citation/27796939/A_new_endoscopic_method_of_retrieval_of_a_migrated_and_transmurally_embedded_intrauterine_contraceptive_device_in_the_rectum_ L2 - https://dx.doi.org/10.1007/s12664-016-0706-4 DB - PRIME DP - Unbound Medicine ER -