scholarly journals Translocation of an Intrauterine Contraceptive Device: Incidental Finding in the Rectosigmoid Colon

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
R. Vilallonga ◽  
N. Rodriguez ◽  
M. Vilchez ◽  
M. Armengol
Keyword(s):  
Sigmoid Colon ◽  
Incidental Finding ◽  
Intrauterine Device ◽  
A Priori ◽  
Uterine Cavity ◽  
Colon Perforation ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Rectosigmoid Colon ◽  
Intrauterine Contraceptive

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.

Wandering intrauterine contraceptive device: an unusual case of migration to the sigmoid colon

2021 ◽  
Vol 15 (1) ◽  
pp. 1-6
Author(s):  
Elpida Samara ◽  
Kerry Howe-Bush ◽  
Mark Portet ◽  
David C Howlett
Keyword(s):  
Sigmoid Colon ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Major Complication ◽  
Unusual Complication ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Pelvic Magnetic Resonance Imaging ◽  
Intrauterine Contraceptive ◽  
And Migration

An intrauterine device is a well-tolerated and widely used contraceptive method. A rare but major complication is perforation of the uterus and migration into the sigmoid colon. In this case report, a 33-year-old woman presented for follow up after placement of a copper-T intrauterine device 4 months previously. A clinical examination found significant tenderness on palpation, and the threads could not be detected. An ultrasound was conducted, which revealed no coil in the uterine cavity. The pelvic x-ray found it in the mid-pelvis and pelvic magnetic resonance imaging confirmed the position of the T-component at the mid-sigmoid colon. The patient underwent a sigmoidoscopy, which confirmed the position in the sigmoid colonic wall. The device was removed with an endoscopy without further complications. Uterine perforation and translocation to the sigmoid colon is an unusual complication of an intrauterine device. Removal of a translocated intrauterine device is recommended in all symptomatic cases.

scholarly journals Ileal Perforation after Intrauterine Device Insertion

2021 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Suleiman Ghunaim
Keyword(s):  
Intrauterine Device ◽  
Bowel Injury ◽  
Intrauterine Contraceptive Device ◽  
Transvaginal Sonography ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Clinical Surveillance ◽  
Device Placement ◽  
Device Use

The intrauterine contraceptive device is the second most popular form of contraception worldwide. Uterine perforations may rarely complicate intrauterine contraceptive device use and are believed to occur mostly at the time of insertion. In the majority of cases, perforations are not recognized by the operator and remain asymptomatic. In rare instances however, severe delayed complications involving adjacent organs may ensue. We report an unusual case of uterine perforation with bowel injury diagnosed two years after the insertion of a copper intrauterine contraceptive device. We aim to address the use of transvaginal sonography to confirm proper intrauterine contraceptive device placement following a technically challenging insertion, clinical surveillance, and prompt removal of an intraperitoneal intrauterine contraceptive deviceto prevent potential serious complications, such as bowel embedment. Keywords: Bleeding; Bowel injury; Contraception; Intrauterine contraceptive device; Uterine perforations. Abbreviations IUD: intrauterine contraceptive device; G2P2: Gravidity 2 Parity 2

scholarly journals Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

2018 ◽  
Vol 6 (11) ◽  
pp. 3756
Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose
Keyword(s):  
Bowel Perforation ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Intrauterine Contraceptive Device ◽  
Greater Omentum ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Minimally Invasive Surgical ◽  
Intrauterine Contraceptive ◽  
Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

scholarly journals Migration of intra caesarean intrauterine device to sigmoid colon: a case report

2019 ◽  
Vol 7 (11) ◽  
pp. 4404
Author(s):  
Jharna Behura ◽  
Sanjiva Kumar
Keyword(s):  
Caesarean Section ◽  
Sigmoid Colon ◽  
Post Partum ◽  
Rare Complication ◽  
Intrauterine Device ◽  
Uterine Wall ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Uterine Incision ◽  
Long Acting

Post-partum intrauterine contraceptive device inserted during caesarean section provides long acting reversible contraception to women soon after birth. It is now well accepted for its safety and efficacy. Uterine perforation, which is one of the most serious complication of PPIUCD has rarely been reported following intracaesarean insertion. The thick uterine wall and placement under direct vision helps prevent perforation. However, migration of IUCD to peritoneal cavity, causing perforation of several adjacent organs can occur due to improper closure of the uterine incision. Migration to sigmoid colon is an extremely rare complication. Authors present the case of a 29-year-old woman who had a Cu T 380 A insertion during Caesarean section. After 12 months of insertion, the patient suffered abdominal pain gradually increasing in intensity and frequent episodes of bleeding per rectum. Laparoscopic exploration revealed IUCD perforating the sigmoid colon completely and adhesions of bowel loops to the sigmoid colon. Extraction using laparoscopic method by gently pulling the threads was unsuccessful and the patient was managed by laparotomy.

scholarly journals Migrated intrauterine contraceptive device: erosion in to sigmoid colon

2018 ◽  
Vol 6 (5) ◽  
pp. 1828 ◽  
Author(s):  
Hitesh Kumar ◽  
Prashant Sharma ◽  
Beena Aggarwal
Keyword(s):  
Sigmoid Colon ◽  
Low Cost ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Side Effect Profile ◽  
Contraceptive Methods ◽  
Intrauterine Pregnancy ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Distal Sigmoid

Intrauterine contraceptive devices (IUCDs) are one of the most widely chosen contraceptive methods with high efficacy, less side effects, and low cost especially in a developing country like India. Although they have low side effect profile but they are also associated with serious complications like device migration into adjacent organs, uterine perforation and sepsis. Any patient presenting with loss of thread should be assessed for localization of the IUCD. Authors are thereby reporting a case of a 30-year-old lady who presented with 2 month amenorrhea with loss of IUCD thread. She was diagnosed with intrauterine pregnancy with migrated IUCD into distal sigmoid colon. The patient was explored, IUCD was removed, dilatation and evacuation were done. Authors concluded that IUCDs are safe only in experienced hands and an institutional training is must for family planning workers. Patient education regarding regular checkup for threads is also emphasized.

scholarly journals Exercise-Induced Hematuria as the Main Manifestation of Migration of Intrauterine Contraceptive Device into the Bladder

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Michel Platiny Mascarenhas ◽  
Ricardo Brianezi Tiraboschi ◽  
Victor Pereira Paschoalin ◽  
Ellen Almeida Possidonio Costa ◽  
Carlos Henrique Suzuki Bellucci ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Present Report ◽  
Intrauterine Device ◽  
Interesting Case ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Complication Rates ◽  
Morbid Condition ◽  
Intrauterine Contraceptive ◽  
Exercise Induced

Intrauterine device (IUD) is a common contraceptive method, due to its cost-effectiveness and low complication rates. Uterine perforation is a possible complication and IUD migration to the bladder is a rare and morbid condition. The present report describes an interesting case in which the urinary manifestations started 13 years after insertion, and the main clinical finding was exercise-induced hematuria.

scholarly journals Comparative study of IUCD inserted intracesarean and after vaginal delivery

2018 ◽  
Vol 7 (5) ◽  
pp. 2007
Author(s):  
Archana Goyal ◽  
Rekha Wadhwani
Keyword(s):  
Removal Rate ◽  
Post Partum ◽  
Intrauterine Device ◽  
Uterine Cavity ◽  
Cost Effective ◽  
High Rate ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Intrauterine Contraceptive

Background: In view of high rate of unintended pregnancy in our country, particularly in post-partum women, there is a need for reliable, effective, long-term contraception such as intrauterine device (IUD) in post-partum women. The present study was planned to evaluate the safety and efficacy of immediate post-partum IUD insertion in women delivering vaginally or by caesarean section.Methods: The women recruited had CuT 380A insertion immediately after delivery of placenta in vaginal or caesarean delivery. Women having post-partum haemorrhage (PPH), anaemia, pre-labour rupture of membranes >18 h, obstructed labour and distorted uterine cavity by fibroid or by congenital malformation were excluded from the study. The women were followed up at 6 weeks after delivery.Results: A total of 500 women were included in the study. The present study shows that expulsion rate was more in postplacental insertion group i.e. 13.2% while among intracaesarean group it was 6.8% and this difference was statistically significant. Removal rate of PPIUCD (Post-partum Intrauterine Contraceptive device) was higher in postplacental insertion i.e.43 (17.2%) cases whereas in intracaesarean insertion removal rate was 8.4%. Most common cause of removal of PPIUCD in our study was pelvic pain and menstrual disturbances.Conclusions: Thus, from our study it is concluded that PPIUCD is safe, convenient, cost effective, reversible and long-term birth spacing method. It should be part of a maternal/newborn/reproductive health package.

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