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Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report.
Medicine (Baltimore) 2018; 97(6):e9840M

Abstract

RATIONALE

Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.

PATIENT CONCERNS

This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically.

DIAGNOSES

Sigmoid colon translocation of an intrauterine device.

INTERVENTIONS

To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD.

OUTCOMES

The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation.

LESSONS

The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD.

Authors+Show Affiliations

Department of Gastroenterology.Department of Gastroenterology.Department of Gastroenterology.Department of Pathology, The First Affiliated Hospital, College of Medicine, Zhejiang University.Department of Gastroenterology, Zhejiang Greentown Cardiovascular Hospital.Department of Gastroenterology.Department of Gastroenterology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang Province, China.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29419691

Citation

Zhou, Xin-Xin, et al. "Sigmoid Colon Translocation of an Intrauterine Device Misdiagnosed as a Colonic Polyp: a Case Report." Medicine, vol. 97, no. 6, 2018, pp. e9840.
Zhou XX, Yu MS, Gu ML, et al. Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. Medicine (Baltimore). 2018;97(6):e9840.
Zhou, X. X., Yu, M. S., Gu, M. L., Zhong, W. X., Wu, H. R., Ji, F., & Pan, H. H. (2018). Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. Medicine, 97(6), pp. e9840. doi:10.1097/MD.0000000000009840.
Zhou XX, et al. Sigmoid Colon Translocation of an Intrauterine Device Misdiagnosed as a Colonic Polyp: a Case Report. Medicine (Baltimore). 2018;97(6):e9840. PubMed PMID: 29419691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. AU - Zhou,Xin-Xin, AU - Yu,Mo-Sang, AU - Gu,Meng-Li, AU - Zhong,Wei-Xiang, AU - Wu,Hong-Ru, AU - Ji,Feng, AU - Pan,Hang-Hai, PY - 2018/2/9/entrez PY - 2018/2/9/pubmed PY - 2018/2/15/medline SP - e9840 EP - e9840 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 6 N2 - RATIONALE: Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet. PATIENT CONCERNS: This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically. DIAGNOSES: Sigmoid colon translocation of an intrauterine device. INTERVENTIONS: To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD. OUTCOMES: The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation. LESSONS: The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29419691/Sigmoid_colon_translocation_of_an_intrauterine_device_misdiagnosed_as_a_colonic_polyp:_A_case_report_ L2 - http://Insights.ovid.com/pubmed?pmid=29419691 DB - PRIME DP - Unbound Medicine ER -