Translocation of an intrauterine contraceptive device: incidental finding in the rectosigmoid colon

R Vilallonga, N Rodriguez, M Vilchez, M Armengol, R Vilallonga, N Rodriguez, M Vilchez, M Armengol

Abstract

The presence of an intrauterine device (IUD) within the colon is rare. Complications have been reported with IUDs among which uterine perforation. Translocation of IUDs to the uterine cavity, to the bladder and also through the wall of the bowel, and sigmoid colon has been reported. We believe there may be a case that surgeons should know the result of despite being a priori gynaecological complication. This paper reports on a case of colon perforation by an IUD.

Figures

Figure 1
Figure 1
IUD is displayed in the rectum (arrow) after perforating the uterus located in front.

References

    1. Özçelik B, Serin IS, Basbug M, Aygen E, Ekmekçiog Lu O. Differential diagnosis of intra-uterine device migrating to bladder using radiographic image of calculus formation and review of literature. European Journal of Obstetrics Gynecology and Reproductive Biology. 2003;108(1):94–96.
    1. Hoşcan MB, Koşar A, Gümüştaş U, Güney M. Intravesical migration of intrauterine device resulting in pregnancy. International Journal of Urology. 2006;13(3):301–302.
    1. Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception. 2002;66(2):105–108.
    1. Vandaele N, Iwanicki-Caron I, Piat M, Hervé S, Ducrotté P. Translocation of an intra-uterine contraceptive device with sigmoid penetration through an endometriosic nodule. Gastroenterologie Clinique et Biologique. 2009;33(6-7):488–490.
    1. Istanbulluoglu MO, Ozcimen EE, Ozturk B, Uckuyu A, Cicek T, Gonen M. Bladder perforation related to intrauterine device. Journal of the Chinese Medical Association. 2008;71(4):207–209.
    1. Bartalena T, Pascali E, Rinaldi MF, et al. Transmigrated intrauterine device discovered 17 years after its insertion. Australasian Radiology. 2007;51(4):B284–B286.
    1. Brunner SM, Comman A, Gaetzschmann P, Kipf B, Behrend M. Laparoscopic removal of a perforating intrauterine device mimicking chronic appendicitis. Journal of Laparoendoscopic and Advanced Surgical Techniques. 2008;18(4):609–610.
    1. Grimaldi L, De Giorgio F, Andreotta P, D’Alessio MC, Piscicelli C, Pascali VL. Medicolegal aspects of an unusual uterine perforation with multiload-Cu 375R. American Journal of Forensic Medicine and Pathology. 2005;26(4):365–366.
    1. Sentilhes L, Lefebvre-Lacoeuille C, Poilblanc M, Descamps P. Incidental finding of an intrauterine device in the sigmoid colon. European Journal of Contraception and Reproductive Health Care. 2008;13(2):212–214.

Source: PubMed

3
Subskrybuj