Ann Coloproctol.  2018 Apr;34(2):106-108. 10.3393/ac.2017.10.30.

Colonoscopic Removal of an Intrauterine Device That Had Perforated the Rectosigmoid Colon

Affiliations
  • 1Department of General Surgery, SM Christianity Hospital, Pohang, Korea. gs3249@naver.com
  • 2Department of Internal Medicine, SM Christianity Hospital, Pohang, Korea.

Abstract

The intrauterine device (IUD) is a widely used contraceptive method. One of the most serious and rare complications of using an IUD is colon perforation. We report a case of colonoscopic removal of an IUD that had perforated into the rectosigmoid colon in a 42-year-old woman who presented with no symptoms. Colonoscopy showed that the IUD had penetrated into rectosigmoid colon wall and that an arm of the IUD was embedded in the colon wall. We were able to remove the IUD easily by using colonoscopy. The endoscopic approach may be considered the first choice therapy for selected patients.

Keyword

Intrauterine device; Colon; Perforation; Colonoscopy

MeSH Terms

Adult
Arm
Colon*
Colonoscopy
Contraception
Female
Humans
Intrauterine Devices*
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