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Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon

Year 2021, Volume: 8 Issue: 1, 189 - 190, 31.12.2020
https://doi.org/10.34087/cbusbed.799654

Abstract

The intrauterine device (IUD) is an effective, reversible, widely used contraception method. After RIA placement, rare, serious complications such as migration to abdominopelvic viscera, pelvis, bladder, rectum and colon can be observed. A 33-year-old female had a previous history of IUD insertion in an external center presented emergency service with abdominal pain. Due to the presence of acute abdominal findings, explorative laparotomy was performed. The exploration revealed a RIA with a limited abscess formation migrated to the sigmoid colon wall and mesocolon. IUD was excised with limited mesocolon of sigmoid and primary suturing was performed. The patient was discharged uneventfully on the 7th postoperative day. Transmigration of IUD to sigmoid colon is a rare condition. Physicians should keep in mind that patients with a history of IUD who had changes in bowel habits and chronic pelvic pain symptoms may be a sign of colonic migration of IUD.

References

  • Peipert JF, Zhao Q, Allsworth JE, et al. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011 ;117(5):1105–1113
  • Kaleem A, Zaman BS, Hassan A et al. Transmigration of an intrauterine device into sigmoid colon-surgical management: A case report., J Pak Med Assoc. 2018 ;68(11):1716-1718.
  • Lei Y, Iablakov V, Karmali RJ et al. Endoscopic Removal of Migrated Intrauterine Device: Case Report and Review of Literature and Technique., ACG Case Rep J. 2019 20;6(6):e00090. doi: 10.14309/crj.0000000000000090
  • Rahnemai-Azar AA, Apfel T, Naghshizadian R et al. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18 pii: e2014.00122
  • Atileh LIA, Mourad MA, Haj-Yasin D et al. Intrauterine Contraceptive Device Perforating the Cecum, a Pregnancy Complication?, Gynecol Minim Invasive Ther. 2019; 8(2): 83–85.

Sigmoid Kolon Mezosunda Abse İle Bulgu Veren Rahimiçi Araç Migrasyonu

Year 2021, Volume: 8 Issue: 1, 189 - 190, 31.12.2020
https://doi.org/10.34087/cbusbed.799654

Abstract

Rahim içi cihaz (RİA) etkili, geri dönüşümlü, yaygın olarak kullanılan bir doğum kontrol yöntemidir. RIA yerleştirilmesi sonrası abdominopelvik visseraya, pelvise, mesaneye, rektum ve kolona göç gibi nadir, ciddi komplikasyonlar görülebilir. 33 yaşında dış merkezde RİA yerleştirme öyküsüne sahip kadın karın ağrısı yakınması ile acil servise başvurdu. Akut karın bulguları nedeniyle eksploratif laparotomi yapıldı. Araştırmada sigmoid kolon duvarına ve mezokolnuna migrasyon gösteren kendini sınırlamış bir apseye neden olmuş bir RIA saptandı. RIA, sınırlı bir sigmoid mezokolon eksizyonu ile birlikte çıkartılarak primer suturasyon uygulandı.Hasta postoperatif 7. günde sorunsuz taburcu edildi. Rahim içi cihazların sigmoid kolona migrasyonu nadir bir durumdur. RİA öyküsü olan hastalarda bağırsak alışkanlıklarında değişiklik, kronik pelvik ağrı semptomları RİA'nın kolon göçünün bir işareti olabileceğini olarak akılda tutmalıdır.

Supporting Institution

yok

References

  • Peipert JF, Zhao Q, Allsworth JE, et al. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011 ;117(5):1105–1113
  • Kaleem A, Zaman BS, Hassan A et al. Transmigration of an intrauterine device into sigmoid colon-surgical management: A case report., J Pak Med Assoc. 2018 ;68(11):1716-1718.
  • Lei Y, Iablakov V, Karmali RJ et al. Endoscopic Removal of Migrated Intrauterine Device: Case Report and Review of Literature and Technique., ACG Case Rep J. 2019 20;6(6):e00090. doi: 10.14309/crj.0000000000000090
  • Rahnemai-Azar AA, Apfel T, Naghshizadian R et al. Laparoscopic removal of migrated intrauterine device embedded in intestine. JSLS. 2014;18 pii: e2014.00122
  • Atileh LIA, Mourad MA, Haj-Yasin D et al. Intrauterine Contraceptive Device Perforating the Cecum, a Pregnancy Complication?, Gynecol Minim Invasive Ther. 2019; 8(2): 83–85.
There are 5 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Olgu Sunumu
Authors

Semra DEMİRLİ ATICI 0000-0002-8287-067X

Gizem KİLİNC 0000-0002-6987-3198

Bülent ÇALIK 0000-0002-9054-1446

Gökhan AKBULUT 0000-0002-3924-5342

Project Number yok
Publication Date December 31, 2020
Published in Issue Year 2021 Volume: 8 Issue: 1

Cite

APA DEMİRLİ ATICI, S., KİLİNC, G., ÇALIK, B., AKBULUT, G. (2020). Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(1), 189-190. https://doi.org/10.34087/cbusbed.799654
AMA DEMİRLİ ATICI S, KİLİNC G, ÇALIK B, AKBULUT G. Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. December 2020;8(1):189-190. doi:10.34087/cbusbed.799654
Chicago DEMİRLİ ATICI, Semra, Gizem KİLİNC, Bülent ÇALIK, and Gökhan AKBULUT. “Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, no. 1 (December 2020): 189-90. https://doi.org/10.34087/cbusbed.799654.
EndNote DEMİRLİ ATICI S, KİLİNC G, ÇALIK B, AKBULUT G (December 1, 2020) Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 1 189–190.
IEEE S. DEMİRLİ ATICI, G. KİLİNC, B. ÇALIK, and G. AKBULUT, “Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 8, no. 1, pp. 189–190, 2020, doi: 10.34087/cbusbed.799654.
ISNAD DEMİRLİ ATICI, Semra et al. “Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/1 (December 2020), 189-190. https://doi.org/10.34087/cbusbed.799654.
JAMA DEMİRLİ ATICI S, KİLİNC G, ÇALIK B, AKBULUT G. Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;8:189–190.
MLA DEMİRLİ ATICI, Semra et al. “Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 8, no. 1, 2020, pp. 189-90, doi:10.34087/cbusbed.799654.
Vancouver DEMİRLİ ATICI S, KİLİNC G, ÇALIK B, AKBULUT G. Transmigration Of An Intrauterine Device Which Presents Abscess In Sigmoid Mesocolon. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;8(1):189-90.