Surgical removal of an intrauterine device perforating the sigmoid colon: a case report.
BACKGROUND
Intrauterine devices (IUDs) are among the most common contraceptive methods in the world, but have been associated with extrauterine dislocation and bowel perforation. We report a case of an IUD perforation of the sigmoid colon.


METHODS
A 35-year-old woman with complaints of abdominal pain, fever, and diarrhea underwent exploratory laparotomy. During the procedure, a left tubo-ovarian abscess was found as well as an IUD extruding through the uterine cavity with the two wings of the device entirely in the lumen of the sigmoid colon. The patient had total abdominal hysterectomy with bilateral salpingo-oophorectomy with resection of the sigmoid colon.


CONCLUSIONS
This is a report of a symptomatic perforation by an IUD into the sigmoid colon after a period of 10years in situ.
Mederos
Raul
R
Department of General Surgery, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140, USA.
Humaran
Lynda
L
Minervini
Donald
D
D000328:Adult; D012809:Colon, Sigmoid / Q000293:injuries*; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007434:Intrauterine Devices / Q000009:adverse effects*