Dzib-Calan EÁ, Morales-Pérez JI, Acuña-Prats R, Leal-Mérida G, Larracilla-Salazar I

Language: Spanish
References: 11
Page: 146-150
PDF size: 525.97 Kb.

ABSTRACT

Background: Perforation is the most important complication during the application of an intrauterine device, which should be removed because of the potential risk of perforation and intestinal obstruction.
Case Report: Female patient of 26 years of age, who presents menstrual rhythm disorders as well as dyspareunia. The tomography revealed the intrauterine device in the rectum, in the anterior wall, intraluminal, and 10 cm from the anal sphincter. It was scheduled for colonoscopy and device removal. The intraoperative findings were: migration of the intrauterine device, 12 cm from the anal margin, with adequate exposure of the vertical arm. The extraction of the device was successful. The patient had a satisfactory evolution, showed no pain or intestinal alterations.
Conclusion: Colonoscopy is a study of great help in all patients in whom migration of IUD with bowel disease without perforation and related complications is suspected, since it provides diagnostic and even therapeutic support, prior to considering a laparoscopy or laparotomy.

REFERENCES

1. Gill RS, Mok D, Hudson M, Shi X, Birch DW, Karmali S. Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review. Contraception. 2012;85(1):15-8.

2. Gonenc M, Kalayci MU, Turhan AN, Deniztas C, Alis H. Endoscopic treatment of a transmigrated intrauterine device to colonic wall: a case report. Am J Obstet Gynecol. 2011;204(3):e3-5.

3. Mederos R, Humaran L, Minervini D. Surgical removal of an intrauterine device perforating the sigmoid colon: A case report. Int J Surg. 2008;6(6):e60-2.

4. Nceboz US, Ozcakir HT, Uyar Y, Caglar H. Migration of an intrauterine contraceptive device to the sigmoid colon: a case report. Eur J Contracept Reprod Health Care 2003;8:229e32.

5. Harrison-Woolrych M, Ashton J, Coulter D. Uterine perforation on intrauterine device insertion: is the incidence higher than previously reported? Contraception 2003;67:53e6.

6. Vasquez P, Schreiber CA. The missing IUD. Contraception. 2010;82(2):126-8.

7. Carmody K, Schwartz B, Chang A. Extrauterine migration of a mirena intrauterine device: a case report. J Emerg Med. 2011;41(2):161-5.

8. Taves DH, Sorsdahl AK, Jadd JL, Chong JJ. Case of the month #167: intrauterine contraceptive device migration to the descending sigmoid colon after uterine perforation. Can Assoc Radiol J 2010;61(5):299-301.

9. Lee JE, Park KS, Kim ES, Cho KB, Shin SJ, Cho CH, Cha SD. Removal of a lost intrauterine device by colonoscopy after a successful full-term delivery. Gastrointest Endosc. 2010;72(4):898-900.

10. Medina T, Hill A, Dejesus S, Hoover F. IUD removal with colonoscopy: a case report. J Reprod Med 2005;50:547e9.

11. Juárez AA, Romero HS, Motta ME. Perforación uterina y de rectosigmoides por dispositivo intrauterino, presentación de un caso con revisión de la literatura. Gac Med Mex 2003;139(1):73-75.