Invading of intrauterine contraceptive device into the sigmoid colon through uterine perforation caused by a blunt trauma

Davoodabadi, Abdoulhossein; Mohammadzadeh, Mahdi; Amirbeigi, Mahdieh; Jazayeri, Hoda

doi:10.1016/j.cjtee.2015.09.006

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Uterine perforation occurs with a frequency rate between 0.4 and 1.6 per 1,000 insertions [4]. The postulated mechanism of uterine perforation could either be due to primary penetration or subsequent inflammation [4,7]. Although coppercontaining IUCDs work by inducing inflammation, a large cohort study showed that there were no significant differences in the uterine perforation rates of copper and levonorgestrel IUCDs [8].…”

Section: Discussionmentioning

confidence: 99%

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Alharbi¹,

Filimban²,

Bafageeh³

et al. 2022

Cureus

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We aim to present a rare case of a missing intrauterine contraceptive device (IUCD) that was found in the terminal ileum by laparoscopy and was managed initially by laparoscopy and then proceeded to laparotomy.A 29-year-old female who had a copper IUCD inserted by a senior gynecologist presented to the clinic with pelvic pain and discomfort. She underwent laparoscopy for IUCD removal. Intraoperatively, the IUCD was discovered to be embedded in the terminal ileum, and therefore, laparoscopy was converted to an open laparotomy. The patient was readmitted multiple times because of abnormal fluid collection in the pelvic region, which was resolved finally by pigtail insertion.This case sheds a light on the possibility of complications occurring in the medical field even if the practitioner is a senior gynecologist. Furthermore, missed IUCDs require thorough investigation and imaging to make an appropriate management plan to avoid serious complications.

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Section: Discussionmentioning

confidence: 99%

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Alharbi¹,

Filimban²,

Bafageeh³

et al. 2022

Cureus

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“…Indiferent de abordul practicat, în majoritatea cazurilor pentru rezolvarea defectului intestinal și uterin obținut după îndepărtarea dispozitivului migrat este practicată sutura primară cu fir întrerupt de tip Polidioxanona, Vicryl, mătase sau cauterizarea cu bisturiul bipolar (pentru orificiul la nivelul uterului) [2,4,6,9,10,20,35,36]. Mai rar, când DIU este îndepărtat în timpul colonoscopiei, leziunea poate fi menajată prin aplicarea hemoclipselor, acestea asigurând și un efect hemostatic eficient [23,34].…”

Section: Aspectul Patofiziologicunclassified

Migration of intrauterine devices into the gastrointestinal tract

Misina¹

2021

Surgery

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IntroducerePrevenirea sarcinii neintenționate (nedorite) poate fi realizată prin metode reversibile, cum ar fi utilizarea preparatelor contraceptive, bariere, dispozitivele intrauterine (DIU) sau permanente, cunoscute sub numele de sterilizare [1, 2].Actualmente DIU sunt considerate instrumente relativ bine tolerate, ieftine, cu efect contraceptiv reversibil și eficient în planificarea familială pe termen lung [3 -7]. În plus, inserția lor este considerată o tehnică ușoară și sigură [6]. Însă producătorii menționează faptul, că DIU necesită o supraveghere periodică postprocedural cu înlocuirea lor aproximativ la fiecare 5 -10 ani după introducere în dependență de tipul dispozitivului utilizat [8]. Cu toate acestea, ei subliniază că dacă aceste recomandări vor fi ignorate, pot apărea complicații, printre care cele mai grave este perforația uterului și migrarea DIU [1, 7, 9 -13].Dispozitivul intrauterin reprezintă una dintre cele mai renumite metode de contracepție utilizate la nivel mondial, ocupând locul trei în opțiunile controlului nașterii [2, 3]. DIU sunt produse din diferite materiale, cum ar fi oțelul inoxidabil, plastic și cauciuc siliconat, și pot fi rotunde, în formă de T, V, Y sau în formă de lanț [3]. Materiale și MetodăPentru realizarea acestui articol am studiat sursele bibliografice anglofone din bazele de date online Google Scholar și PubMed. Căutarea a fost efectuată după următoarele MeSH-termene: "intrauterine device", "complications", Review

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Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

Samara

Howe-Bush

Portet

et al. 2021

African Journal of Midwifery and Women's Health

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An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.

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Invading of intrauterine contraceptive device into the sigmoid colon through uterine perforation caused by a blunt trauma

Cited by 4 publications

References 15 publications

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Removal of a Migrated Intrauterine Contraceptive Device Perforating the Terminal Ileum: A Case Report

Migration of intrauterine devices into the gastrointestinal tract

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

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