Penetration of the descending colon by a migrating intrauterine contraceptive device
Park, J.M.; Lee, C.S.; Kim, M.S.; Kim, D.Y.; Kim, C.Y.; Lim, Y.B.; Lee, Y.K.; Park, D.E.; Lee, D.H.
Journal of the Korean Society of Coloproctology 26(6): 433-436
2010
ISSN/ISBN: 2093-7830 PMID: 21221246 DOI: 10.3393/jksc.2010.26.6.433Document Number: 215215
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.