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Gastrointestinal perforation caused by displaced contraceptive device: a case report
Hiba Ben Hassine1, Mohamed Ali Chaouch1, Maissa Jallali1
1Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
Intrauterine devices (IUDs) can migrate and cause complications. This case shows an IUD penetrating the rectum, requiring surgical removal.
Area of Science:
- Gynecology
- Surgical Case Report
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Uterine rupture can cause IUD migration to abdominal or pelvic cavities.
- Migration can lead to severe complications like gastrointestinal perforation.
Observation:
- A 29-year-old woman presented with acute left lumbar pain.
- CT scan revealed a left para tubal collection with an IUD.
- The IUD was outside the uterus and had perforated the rectum.
Findings:
- Surgical intervention successfully retrieved the IUD.
- The rectal perforation was closed during surgery.
Implications:
- Highlights rare but serious IUD complications.
- Emphasizes the need for prompt diagnosis and multidisciplinary management.
- Reinforces vigilance for healthcare providers managing IUD users.
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