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IUD removal with colonoscopy: a case report.

Tanya M Medina¹, D Ashley Hill, Samuel DeJesus

¹Department of Obstetrics and Gynecology, Florida Hospital Family Practice Residency Program, Orlando, Florida 32803, USA.

The Journal of Reproductive Medicine

|September 1, 2005

Summary

Intrauterine device (IUD) perforation of the bowel is rare but can cause abdominal pain. Successful removal of an embedded IUD from the large bowel was achieved using colonoscopy, offering a less invasive option than surgery.

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Area of Science:

Gastroenterology
Gynecology
Surgical Innovation

Background:

Intrauterine device (IUD) perforation of the bowel is an uncommon complication.
While often asymptomatic, unexplained abdominal pain is the most frequent symptom.

Purpose of the Study:

To report a case of delayed diagnosis of IUD bowel perforation.
To highlight a minimally invasive approach for IUD removal from the large bowel.

Main Methods:

A patient with a 7-year-old IUD presented with unexplained lower abdominal pain.
Laparoscopy identified the IUD deeply embedded in the rectum.
Successful removal was achieved via colonoscopy with a grasping snare after bowel preparation and antibiotics.

Main Results:

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Colonoscopic removal of a rectally embedded IUD was successful.
The procedure avoided the need for laparotomy.

Conclusions:

Colonoscopy is a viable alternative to laparotomy for removing IUDs embedded in the large bowel.
Bowel preparation, antibiotics, and post-extraction evaluation are recommended.