Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon

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.