Migration of intrauterine contraceptive device into sigmoid colon

Prabhu, JS; Rani, Reddi; Nayak, N. K.; Natarajan, Punnagai

doi:10.3109/01443615.2010.486087

Cited by 14 publications

(12 citation statements)

References 4 publications

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“…Less commonly, objects can migrate through the wall of the viscera or the abdominal wall and into the peritoneal cavity [2][3][4]. Intrauterine contraceptive devices have been well described to migrate through the uterus intraperitoneally or, more seriously, to perforate the bowel requiring emergent operation [5][6][7][8]. The patient described in our case did not initially describe trauma or ingestion of what was later found to be a sewing needle lying freely in his intraperitoneal space.…”

Section: Discussionmentioning

confidence: 85%

Noningested intraperitoneal foreign body causing chronic abdominal pain: a role for laparoscopy in the diagnosis

Aarabi

Stephenson

Christie

et al. 2012

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 85%

Noningested intraperitoneal foreign body causing chronic abdominal pain: a role for laparoscopy in the diagnosis

Aarabi

Stephenson

Christie

et al. 2012

Journal of Pediatric Surgery

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“…In the absence of severe complications, the triad made of abdominal pain with fever and diarrhea in woman with IUD in situ should alert the clinician to a possible gastrointestinal perforation [8] , [9] , [15] , [18] . In the literature, some cases of gastrointestinal perforation were revealed by the excretion of the IUD thread through the anus [19] .…”

Section: Discussionmentioning

confidence: 99%

Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: A case report and review of the literature

Toumi

Ammar

Ghdira

et al. 2018

International Journal of Surgery Case Reports

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HighlightsIntrauterine devices (IUD) are effective, safe, and widely used contraceptive devices. Their use is about 14.7% in the developing countries and 8.9% in developed ones.The perforation of the uterus by the IUD is a relatively rare complication whose incidence is estimated between 1.3 and 1.6 per 1000 insertions, but the consequences can be very serious.Ectopic migration of IUD with involvement of adjacent organs can cause catastrophic complications such as gastrointestinal perforation.Ideal treatment of IUD migration remains controversial.

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“…The incidence of uterine perforation by IUDs is reported to be between 1.3 and 1.6 per 1000 insertions [ 1 ]. This may result in device migration into adjacent structures including the urinary bladder, bowel, omentum and retroperitoneum [ 2 ]. Factors affecting migration include uterine size, position, timing of the insertion, congenital uterine anomalies and previous surgery [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…A case of colocolic fistula formation by a Multiload Cu250 device has previously been reported by Pirwany and Boddy [ 8 ]. Bowel perforation may be asymptomatic or present with abdominal pain, peritonitis, subacute intestinal obstruction or as strings at the anus [ 2 ]. In asymptomatic patients, migrating IUDs may remain undetected for years [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colocolic fistula caused by intrauterine device migration: a case report

Weerasekera¹,

Wijesinghe²,

Nugaduwa³

2014

J Med Case Reports

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IntroductionThe intrauterine device is a form of contraception with a long duration of action and few systemic side effects. Migration into the abdominal cavity may occur early or years after insertion giving rise to bowel obstruction, perforation, ischemia, mesenteric injury, strictures or fistulae. Colocolic fistula formation is a rare but serious complication of intrauterine device migration, which may lead to difficulties in diagnosis and device retrieval.Case presentationWe report the case of a 29-year-old Sri Lankan woman who became pregnant 5 years after intrauterine device insertion. The device could not be located during pregnancy. She was asymptomatic and defaulted follow up during the antenatal period. She had an uncomplicated vaginal delivery. A subsequent laparotomy for device retrieval failed due to technical difficulties. A repeat laparotomy identified a sigmoid colocolic fistula with adhesions to the fallopian tube. The device was removed and colonic defects primarily closed following which the patient made an uneventful recovery.ConclusionsAll translocated intrauterine devices should be removed regardless of type and location. This case illustrates that they may cause complex bowel lesions leading to serious technical difficulties during retrieval. With the increasing use of minimally invasive approaches for intrauterine device retrieval, a low threshold for open surgery in complicated cases is advocated.

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Migration of intrauterine contraceptive device into sigmoid colon

Cited by 14 publications

References 4 publications

Noningested intraperitoneal foreign body causing chronic abdominal pain: a role for laparoscopy in the diagnosis

Noningested intraperitoneal foreign body causing chronic abdominal pain: a role for laparoscopy in the diagnosis

Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: A case report and review of the literature

Sigmoid colocolic fistula caused by intrauterine device migration: a case report

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