Abstract
The intrauterine device (IUD) is an effective, reversible, widely used contraception method. After RIA placement, rare, serious complications such as migration to abdominopelvic viscera, pelvis, bladder, rectum and colon can be observed. A 33-year-old female had a previous history of IUD insertion in an external center presented emergency service with abdominal pain. Due to the presence of acute abdominal findings, explorative laparotomy was performed. The exploration revealed a RIA with a limited abscess formation migrated to the sigmoid colon wall and mesocolon. IUD was excised with limited mesocolon of sigmoid and primary suturing was performed. The patient was discharged uneventfully on the 7th postoperative day. Transmigration of IUD to sigmoid colon is a rare condition. Physicians should keep in mind that patients with a history of IUD who had changes in bowel habits and chronic pelvic pain symptoms may be a sign of colonic migration of IUD.
Project Number
yok
References
- Peipert JF, Zhao Q, Allsworth JE, et al. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011 ;117(5):1105–1113
- Kaleem A, Zaman BS, Hassan A et al. Transmigration of an intrauterine device into sigmoid colon-surgical management: A case report., J Pak Med Assoc. 2018 ;68(11):1716-1718.
- Lei Y, Iablakov V, Karmali RJ et al. Endoscopic Removal of Migrated Intrauterine Device: Case Report and Review of Literature and Technique., ACG Case Rep J. 2019 20;6(6):e00090. doi: 10.14309/crj.0000000000000090
- Rahnemai-Azar AA, Apfel T, Naghshizadian R et al. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18 pii: e2014.00122
- Atileh LIA, Mourad MA, Haj-Yasin D et al. Intrauterine Contraceptive Device Perforating the Cecum, a Pregnancy Complication?, Gynecol Minim Invasive Ther. 2019; 8(2): 83–85.
Abstract
Rahim içi cihaz (RİA) etkili, geri dönüşümlü, yaygın olarak kullanılan bir doğum kontrol yöntemidir. RIA yerleştirilmesi sonrası abdominopelvik visseraya, pelvise, mesaneye, rektum ve kolona göç gibi nadir, ciddi komplikasyonlar görülebilir. 33 yaşında dış merkezde RİA yerleştirme öyküsüne sahip kadın karın ağrısı yakınması ile acil servise başvurdu. Akut karın bulguları nedeniyle eksploratif laparotomi yapıldı. Araştırmada sigmoid kolon duvarına ve mezokolnuna migrasyon gösteren kendini sınırlamış bir apseye neden olmuş bir RIA saptandı. RIA, sınırlı bir sigmoid mezokolon eksizyonu ile birlikte çıkartılarak primer suturasyon uygulandı.Hasta postoperatif 7. günde sorunsuz taburcu edildi. Rahim içi cihazların sigmoid kolona migrasyonu nadir bir durumdur. RİA öyküsü olan hastalarda bağırsak alışkanlıklarında değişiklik, kronik pelvik ağrı semptomları RİA'nın kolon göçünün bir işareti olabileceğini olarak akılda tutmalıdır.
Supporting Institution
yok
Project Number
yok
References
- Peipert JF, Zhao Q, Allsworth JE, et al. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011 ;117(5):1105–1113
- Kaleem A, Zaman BS, Hassan A et al. Transmigration of an intrauterine device into sigmoid colon-surgical management: A case report., J Pak Med Assoc. 2018 ;68(11):1716-1718.
- Lei Y, Iablakov V, Karmali RJ et al. Endoscopic Removal of Migrated Intrauterine Device: Case Report and Review of Literature and Technique., ACG Case Rep J. 2019 20;6(6):e00090. doi: 10.14309/crj.0000000000000090
- Rahnemai-Azar AA, Apfel T, Naghshizadian R et al. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18 pii: e2014.00122
- Atileh LIA, Mourad MA, Haj-Yasin D et al. Intrauterine Contraceptive Device Perforating the Cecum, a Pregnancy Complication?, Gynecol Minim Invasive Ther. 2019; 8(2): 83–85.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Olgu Sunumu |
| Authors | |
| Project Number | yok |
| Publication Date | December 31, 2020 |
| Published in Issue | Year 2021 Volume: 8 Issue: 1 |
