Tags

Type your tag names separated by a space and hit enter

Chronic nodules of sigmoid perforation caused by incarcerated intrauterine contraception device.
Medicine (Baltimore) 2019; 98(4):e14117M

Abstract

RATIONALE

It is extremely rare for an intrauterine contraception device (IUD) to cause uterine perforation and Sigmoid perforation for a long time without being detected.

PATIENT CONCERNS

We present a case of a patient who has suffered from abdominal pain after 4 years of placement of an IUD, and found that the IUD was incarcerated by ultrasound.

DIAGNOSES

Laparoscopic and hysteroscopic examination revealed that the incarcerated IUD caused uterine perforation and sigmoid perforation for a long time. One end of the intrauterine device completely penetrated the anterior wall muscle layer of the uterus and the full layer of the sigmoid colon, located in the intestinal lumen, and the perforated portion of the sigmoid colon formed a chronic nodule.

INTERVENTIONS

We extended the sigmoid colon perforation and uterine perforation by laparoscopy, removed the incarcerated IUD from the uterus through the vagina, trimmed the chronic nodules of the sigmoid perforation, repaired the sigmoid colon, and repaired the uterine perforation.

OUTCOMES

The patient was cured and discharged 22 days after surgery. The patient was naturally pregnant 3 months after surgery and delivered by cesarean section 12 months after surgery. We saw a good recovery of the uterus and sigmoid colon during cesarean section.

LESSONS

The patient was placed with an intrauterine device made of a special material and was not monitored after placement, causing the uterus and sigmoid perforation to be undetected for a long time. The IUD placed in the patient should be monitored regularly. If the IUD is found to be incarcerated or displaced, attention should be paid to uterine perforation and intestinal perforation.

Authors+Show Affiliations

Department of Gynecology, Guangdong Women and Children Hospital.Department of Ultrasound, Guangdong Province Traditional Chinese Medical Hospital, Guangzhou, Guangdong, China.Department of Gynecology, Guangdong Women and Children Hospital.Department of Gynecology, Guangdong Women and Children Hospital.Department of Gynecology, Guangdong Women and Children Hospital.Department of Gynecology, Guangdong Women and Children Hospital.Department of Gynecology, Guangdong Women and Children Hospital.Department of Gynecology, Guangdong Women and Children Hospital.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30681572

Citation

Huang, Xiaohui, et al. "Chronic Nodules of Sigmoid Perforation Caused By Incarcerated Intrauterine Contraception Device." Medicine, vol. 98, no. 4, 2019, pp. e14117.
Huang X, Zhong R, Zeng L, et al. Chronic nodules of sigmoid perforation caused by incarcerated intrauterine contraception device. Medicine (Baltimore). 2019;98(4):e14117.
Huang, X., Zhong, R., Zeng, L., He, X., Deng, Q., Peng, X., ... Luo, X. (2019). Chronic nodules of sigmoid perforation caused by incarcerated intrauterine contraception device. Medicine, 98(4), pp. e14117. doi:10.1097/MD.0000000000014117.
Huang X, et al. Chronic Nodules of Sigmoid Perforation Caused By Incarcerated Intrauterine Contraception Device. Medicine (Baltimore). 2019;98(4):e14117. PubMed PMID: 30681572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic nodules of sigmoid perforation caused by incarcerated intrauterine contraception device. AU - Huang,Xiaohui, AU - Zhong,Rui, AU - Zeng,Liqin, AU - He,Xuhui, AU - Deng,Qingshan, AU - Peng,Xiuhong, AU - Li,Jieming, AU - Luo,Xiping, PY - 2019/1/26/entrez PY - 2019/1/27/pubmed PY - 2019/2/5/medline SP - e14117 EP - e14117 JF - Medicine JO - Medicine (Baltimore) VL - 98 IS - 4 N2 - RATIONALE: It is extremely rare for an intrauterine contraception device (IUD) to cause uterine perforation and Sigmoid perforation for a long time without being detected. PATIENT CONCERNS: We present a case of a patient who has suffered from abdominal pain after 4 years of placement of an IUD, and found that the IUD was incarcerated by ultrasound. DIAGNOSES: Laparoscopic and hysteroscopic examination revealed that the incarcerated IUD caused uterine perforation and sigmoid perforation for a long time. One end of the intrauterine device completely penetrated the anterior wall muscle layer of the uterus and the full layer of the sigmoid colon, located in the intestinal lumen, and the perforated portion of the sigmoid colon formed a chronic nodule. INTERVENTIONS: We extended the sigmoid colon perforation and uterine perforation by laparoscopy, removed the incarcerated IUD from the uterus through the vagina, trimmed the chronic nodules of the sigmoid perforation, repaired the sigmoid colon, and repaired the uterine perforation. OUTCOMES: The patient was cured and discharged 22 days after surgery. The patient was naturally pregnant 3 months after surgery and delivered by cesarean section 12 months after surgery. We saw a good recovery of the uterus and sigmoid colon during cesarean section. LESSONS: The patient was placed with an intrauterine device made of a special material and was not monitored after placement, causing the uterus and sigmoid perforation to be undetected for a long time. The IUD placed in the patient should be monitored regularly. If the IUD is found to be incarcerated or displaced, attention should be paid to uterine perforation and intestinal perforation. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/30681572/Chronic_nodules_of_sigmoid_perforation_caused_by_incarcerated_intrauterine_contraception_device_ L2 - http://Insights.ovid.com/pubmed?pmid=30681572 DB - PRIME DP - Unbound Medicine ER -