title: Sigmoid colon migration of an intrauterine device.
abstract: Background. Intrauterine devices (IUD) are commonly used birth control methods. Colonic perforation is an infrequent but serious complication of IUD. Case. A 34-year-old woman with 2-years history of IUD, inserted at early puerperal period, presented to gynecologist with chronic pelvic pain and dyspareunia. Radiological assessment revealed that there were two copper-T devices: one in uterine cavity and another in the colonic lumen. Attempts of retrieval with colonoscopy and laparoscopy were unsuccessful. Intrauterine device embedded in sigmoid colon wall was removed with resection of the involved segment and primary anastomosis was performed. Conclusion. Although there are cases in literature that are successfully managed with colonoscopy, in chronic cases, formation of granulation tissue complicates retrieval of an IUD by this intervention.
authors.affiliation: Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, 06010 Ankara, Turkey ; Department of Obstetrics and Gynecology, Rize State Hospital, 53100 Rize, Turkey.
authors.forename: Funda
authors.initials: F
authors.lastname: Akpinar
authors.affiliation: Department of Obstetrics and Gynecology, Rize State Hospital, 53100 Rize, Turkey.
authors.forename: Esra Nur
authors.initials: EN
authors.lastname: Ozgur
authors.affiliation: Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Training and Research Hospital, 06010 Ankara, Turkey.
authors.forename: Saynur
authors.initials: S
authors.lastname: Yilmaz
authors.affiliation: Department of General Surgery, Rize State Hospital, 53100 Rize, Turkey.
authors.forename: Oguzhan
authors.initials: O
authors.lastname: Ustaoglu