Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014:2014:207659.
doi: 10.1155/2014/207659. Epub 2014 Jul 22.

Sigmoid colon migration of an intrauterine device

Funda Akpinar  1 , Esra Nur Ozgur  2 , Saynur Yilmaz  3 , Oguzhan Ustaoglu  4
Affiliations

Sigmoid colon migration of an intrauterine device

Funda Akpinar et al. Case Rep Obstet Gynecol. 2014.

Abstract

Background. Intrauterine devices (IUD) are commonly used birth control methods. Colonic perforation is an infrequent but serious complication of IUD. Case. A 34-year-old woman with 2-years history of IUD, inserted at early puerperal period, presented to gynecologist with chronic pelvic pain and dyspareunia. Radiological assessment revealed that there were two copper-T devices: one in uterine cavity and another in the colonic lumen. Attempts of retrieval with colonoscopy and laparoscopy were unsuccessful. Intrauterine device embedded in sigmoid colon wall was removed with resection of the involved segment and primary anastomosis was performed. Conclusion. Although there are cases in literature that are successfully managed with colonoscopy, in chronic cases, formation of granulation tissue complicates retrieval of an IUD by this intervention.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Plain pelvic X-ray showing two copper-T devices.
Figure 2
Figure 2
Colonoscopic view of the copper-T device partially penetrated to sigmoid colonic wall.
See this image and copyright information in PMC

References

    1. United Nations. World Contraceptive Use 2007. New York, NY, USA: United Nations, Population Division, Dept. of Economic and Social Affairs; 2008.
    1. Arslan A, Kanat-Pektas M, Yesilyurt H, Bilge U. Colon penetration by a copper intrauterine device: a case report with literature review. Archives of Gynecology and Obstetrics. 2009;279(3):395–397. - PubMed
    1. Weerasekera A, Wijesinghe P, Nugaduwa W. Sigmoid colocolic fistula caused by intrauterine device migration: a case report. Journal of Medical Case Reports. 2014;8, article 81 - PMC - PubMed
    1. Huertas-Velasco MA, Gómez-Rubio M. Endoscopic removal of intrauterine device penetrated through the rectal wall. Revista Espanola de Enfermedades Digestivas. 2012;104(8):432–433. - PubMed
    1. Shin DG, Kim TN, Lee W. Intrauterine device embedded into the bladder wall with stone formation: laparoscopic removal is a minimally invasive alternative to open surgery. International Urogynecology Journal. 2012;23(8):1129–1131. - PMC - PubMed

LinkOut - more resources