Laparoscopic removal of an intrauterine device from the sigmoid colon.

Fatih Şanlıkan,Oğuz Arslan,Ahmet Göçmen,Muhittin Eftal Avcı

doi:10.12669/pjms.311.6096

Abstract

Uterine wall perforation which is commonly seen through the posterior wall of the uterus is the most serious complication of an intrauterine device (IUD). We present a case of laparoscopic removal of an IUD from the sigmoid colon in a 31-years-old female who was admitted to hospital with a history of pelvic pain and abnormal vaginal bleeding for one month. The dislocated IUD was removed from the sigmoid colon of laparoscopic intervention without any complications.In conclusion, the treatment modality for the removal of a dislocated IUD is possible by laparoscopic surgery in selected patients where the dislocated IUD is accessible.

Highlights

The usage of an intrauterine device as a contraceptive method is very common in the world, especially in developing countries
We present a case of successful laparoscopic removal of an intrauterine device (IUD) from the sigmoid colon without any complication in a 31-years-old patient
Either a part of the IUD can adhere into the uterine wall or entirely involving contiguous pelvic organs, the bladder, appendix or rectum.[2]

Summary

INTRODUCTION

The usage of an intrauterine device as a contraceptive method is very common in the world, especially in developing countries. In Turkey, where the fertility rates are slightly higher than the world’s average, the intrauterine device (IUD) is the most commonly used contraceptive method. Due to the high rate of usage of IUD, the complications related to IUD should be considered as an important issue. Muhittin Eftal Avcı, Departments of Aegean Obstetrics and Gynecology, Training and Research Hospital, Yenişehir, Izmir, Turkey. 4. Ahmet Göçmen, 1,2,4: Ümraniye Education and Research Hospital, Istanbul, Turkey. We present a case of successful laparoscopic removal of an IUD from the sigmoid colon without any complication in a 31-years-old patient

CASE REPORT

DISCUSSION