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Case Reports
. 2010 Dec;26(6):433-6.
doi: 10.3393/jksc.2010.26.6.433. Epub 2010 Dec 31.

Penetration of the descending colon by a migrating intrauterine contraceptive device

Jung Min Park  1 , Chang Seog Lee, Min Seong Kim, Do Young Kim, Chul Young Kim, Young Bae Lim, Yong Kyu Lee, Dong Eun Park, Dong Hyun Lee
Affiliations
Case Reports

Penetration of the descending colon by a migrating intrauterine contraceptive device

Jung Min Park et al. J Korean Soc Coloproctol. 2010 Dec.

Abstract

Foreign bodies in the gastrointestinal tract often cause serious complications, such as perforation, obstruction, abscess formation, or hemorrhage. This is a case in which a patient visited our hospital and complained of a vague lower abdominal pain that had been present for three months. She had an intrauterine device (IUD) inserted five years earlier. The abdominal X-ray, computed tomography and colonoscopy revealed that the IUD had penetrated into the descending colon. We tried to remove the IUD by colonoscopy but failed due to pain, so we removed the IUD surgically. Thus, we report a case in which a previously inserted IUD had penetrated into the descending colon and was surgically removed. We also present a brief review of the literature.

Keywords: Colon perforation; Foreign bodies; Intrauterine contraceptive device.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Plain abdominal X-ray. A misplaced intrauterine device in the left lower quadrant area.
Fig. 2
Fig. 2
Abdominal computed tomography scan. The intrauterine device is embedded adjacent to the descending colon.
Fig. 3
Fig. 3
Colonscopic finding. The intrauterine device had penetrated into the lumen of the descending colon.
Fig. 4
Fig. 4
Gross finding. The intrauterine device that had been removed from the descending colon.
See this image and copyright information in PMC

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