title: Gynaefix frameless IUD: Cause of bowel resection.
abstract: A case of a lost GyneFix intrauterine contraceptive device (IUD) is described, in which laparoscopy failed to identify the device and laparotomy had to be carried out to remove the IUD, which was embedded in the small bowel necessitating bowel resection. Awareness of this complication is necessary, and advanced training is required in order to minimize risks. A description of the GyneFix device, the possible adverse effects and incidence of complications, the importance of post-insertion follow-up, and the need for awareness of the possibility of migration through the bowel are discussed.
authors.affiliation: Department of Gynaecology, Hewitt Centre of Reproductive Medicine, Liverpool Women's Hospital, Crown Street, Liverpool, L8 7SS, UK. y.sajjad@btinternet.com
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Sajjad
authors.forename: Gowri
authors.initials: G
authors.lastname: Selvan
authors.forename: John M
authors.initials: JM
authors.lastname: Kirwan
authors.forename: Charles R
authors.initials: CR
authors.lastname: Kingsland
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications / Q000601:surgery*; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D007434:Intrauterine Devices / Q000009:adverse effects*; D014595:Uterine Perforation / Q000209:etiology