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Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum.
BMJ Case Rep 2019; 12(9)BC

Abstract

Intrauterine contraceptive device (IUCD) is a common birth control method. It is safe but can be associated with serious complications including migration into the peritoneal cavity and penetration into other intra-abdominal and pelvic viscera; most commonly the rectosigmoid colon. Different retrieval methods including endoscopy, laparoscopy or open abdominal surgery have been described. We report the case of 38-year-old woman who became pregnant shortly after insertion of the IUCD 6 years prior to presentation. She delivered vaginally and 'expulsion' of the device was assumed. Some 4 years later, she had another IUCD inserted and remained asymptomatic till she recently presented with iron-deficiency anaemia. As part of the investigation, diagnostic colonoscopy was performed. Surprisingly, the old IUCD was found penetrating into the midrectum. Uneventful endoscopic removal was performed and she remained well at 3-month follow-up. Migrating IUCD remains asymptomatic and may be discovered accidentally during routine investigation for some other symptoms.

Authors+Show Affiliations

Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.Department of Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31519723

Citation

Al Sahaf, Mahdi Abdulrasoul, et al. "Endoscopic Removal of an Incidentally Discovered Intrauterine Contraceptive Device Eroding Into the Rectum." BMJ Case Reports, vol. 12, no. 9, 2019.
Al Sahaf MA, Bseiso BF, Al-Momen SA, et al. Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum. BMJ Case Rep. 2019;12(9).
Al Sahaf, M. A., Bseiso, B. F., Al-Momen, S. A., & Meshikhes, A. N. (2019). Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum. BMJ Case Reports, 12(9), doi:10.1136/bcr-2019-231410.
Al Sahaf MA, et al. Endoscopic Removal of an Incidentally Discovered Intrauterine Contraceptive Device Eroding Into the Rectum. BMJ Case Rep. 2019 Sep 12;12(9) PubMed PMID: 31519723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum. AU - Al Sahaf,Mahdi Abdulrasoul, AU - Bseiso,Bahaa Farouk, AU - Al-Momen,Sami Abdulmohsin, AU - Meshikhes,Abdul-Wahed Nasir, Y1 - 2019/09/12/ PY - 2019/9/15/entrez KW - contraception KW - endoscopy JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 9 N2 - Intrauterine contraceptive device (IUCD) is a common birth control method. It is safe but can be associated with serious complications including migration into the peritoneal cavity and penetration into other intra-abdominal and pelvic viscera; most commonly the rectosigmoid colon. Different retrieval methods including endoscopy, laparoscopy or open abdominal surgery have been described. We report the case of 38-year-old woman who became pregnant shortly after insertion of the IUCD 6 years prior to presentation. She delivered vaginally and 'expulsion' of the device was assumed. Some 4 years later, she had another IUCD inserted and remained asymptomatic till she recently presented with iron-deficiency anaemia. As part of the investigation, diagnostic colonoscopy was performed. Surprisingly, the old IUCD was found penetrating into the midrectum. Uneventful endoscopic removal was performed and she remained well at 3-month follow-up. Migrating IUCD remains asymptomatic and may be discovered accidentally during routine investigation for some other symptoms. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31519723/Endoscopic_removal_of_an_incidentally_discovered_intrauterine_contraceptive_device_eroding_into_the_rectum_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=31519723 DB - PRIME DP - Unbound Medicine ER -