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Migrated intrauterine device: Case series report.
Alaa Aljohani1, Abdulla Ahmed Alzarea1, Reem Alnafee1
1General Surgery Department, Security Force Hospital, Riyadh, Saudi Arabia.
International Journal of Surgery Case Reports
|September 27, 2023
Summary
Intrauterine device (IUD) migration to the colon is rare but can occur. Diagnosis relies on CT scans, with colonoscopy and laparoscopy being effective for removal.
Area of Science:
- Reproductive Health
- Gastroenterology
- Surgical Case Reports
Background:
- Intrauterine devices (IUDs) are a common contraceptive method.
- While generally safe, rare complications like IUD migration and colon perforation can occur.
- This report details three cases of IUD migration into the colon and recto-uterine pouch.
Purpose of the Study:
- To present three distinct cases of intrauterine device migration into the colon.
- To highlight diagnostic and management strategies for this rare complication.
Main Methods:
- Case series describing three women with migrated IUDs.
- Diagnostic imaging included abdominal and pelvic CT scans.
- Interventions involved caesarean section, colonoscopy, laparoscopy, and abdominal surgery for IUD removal.
Main Results:
- IUDs were found in the sigmoid colon, pouch of Douglas, and transverse colon.
- Symptoms included abdominal pain.
- Successful IUD retrieval was achieved through various surgical and endoscopic procedures.
Conclusions:
- Abdominal and pelvic CT scans are crucial for diagnosing and localizing migrated IUDs.
- Elective colonoscopy and laparoscopy are successful management options.
- Prompt diagnosis and intervention are key to managing IUD migration.
