title: An unconventional therapeutic approach to a migratory IUD causing perforation of the rectum.
abstract: Intrauterine devices (IUDs) are a commonly used form of contraception. The risk of perforation and migration of these devices have been reported to be 1 in 1000. Migration into the rectum is even more uncommon. The following case illustrates a previously healthy 37-year-old woman who experienced a perforation and migration of an IUD into the rectum necessitating endoscopic removal. To our knowledge, this complication of IUD and subsequent endoscopic removal has not been previously described and presents a viable first-line therapeutic option in a stable patient.
authors.affiliation: Department of General Surgery, University of Toronto, Canada Mount Sinai Hospital, Toronto, Canada gw.ma@mail.utoronto.ca.
authors.forename: Grace W
authors.initials: GW
authors.lastname: Ma
authors.affiliation: Department of General Surgery, University of Toronto, Canada.
authors.forename: Andrew
authors.initials: A
authors.lastname: Yuen
authors.affiliation: St Michael's Hospital, Toronto, Canada Department of Medical Imaging, University of Toronto, Canada.
authors.forename: Paraskevi A
authors.initials: PA
authors.lastname: Vlachou
authors.affiliation: Department of General Surgery, University of Toronto, Canada St Michael's Hospital, Toronto, Canada.
authors.forename: Sandra
authors.initials: S
authors.lastname: de Montbrun
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