J Korean Soc Coloproctol.  2010 Dec;26(6):433-436. 10.3393/jksc.2010.26.6.433.

Penetration of the Descending Colon by a Migrating Intrauterine Contraceptive Device

• Park JM
• Lee CS
• Kim MS
• Kim DY
• Kim CY
• Lim YB
• Lee YK
• Park DE
• Lee DH

• KMID: 2101560
• DOI: http://doi.org/10.3393/jksc.2010.26.6.433

Abstract

Foreign bodies in the gastrointestinal tract often cause serious complications, such as perforation, obstruction, abscess formation, or hemorrhage. This is a case in which a patient visited our hospital and complained of a vague lower abdominal pain that had been present for three months. She had an intrauterine device (IUD) inserted five years earlier. The abdominal X-ray, computed tomography and colonoscopy revealed that the IUD had penetrated into the descending colon. We tried to remove the IUD by colonoscopy but failed due to pain, so we removed the IUD surgically. Thus, we report a case in which a previously inserted IUD had penetrated into the descending colon and was surgically removed. We also present a brief review of the literature.

Keyword

Foreign bodies; Intrauterine contraceptive device; Colon perforation

MeSH Terms

Abdominal Pain
Abscess
Colon, Descending
Colonoscopy
Foreign Bodies
Gastrointestinal Tract
Hemorrhage
Humans
Intrauterine Devices