Case Report: a Case of Migrated Intrauterine Copper Device into the Rectum Successfully Managed as a Multidisciplinary Approach after 2 Years of Insertion  

Li K.E. , Matsuzono T. , Lee M.H.M.
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
Author    Correspondence author
International Journal of Clinical Case Reports, 2015, Vol. 5, No. 38   doi: 10.5376/ijccr.2015.05.0038
Received: 15 Jul., 2015    Accepted: 16 Aug., 2015    Published: 27 Sep., 2015
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This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article:

Li K.E., Matsuzono T., Lee M.H.M., 2015, Case Report: a Case of Migrated Intrauterine Copper Device into the Rectum Successfully Managed as a Multidisciplinary Approach after 2 Years of Insertion, International Journal of Clinical Case Reports, 5(38) 1-3 (doi: 10.5376/ijccr.2015.05.0038)

Abstract

Objective: We present a case of migrated IUCD into the rectum 2 years after its insertion.

Case: A 34 years old lady suffers from a migrated intrauterine copper device (MLZ380) into the rectum despite being asymptomatic for 2 years. Diagnosis was made by a combination of x rays, ultrasound and laparoscopy. Successful removal was performed by a multidisciplinary effort through diagnostic laparoscopy, colonoscopy and anterior resection of bowel in the same settings.

Conclusion: Our case demonstrated a migrated IUCD can have its large proportion migrated into the rectal cavity while despite rectal perforation, it can remain relatively asymptomatic for over 2 years. Removal of such migration often require detail investigations and multi-disciplinary involvement to ensure safe removal and in a single operative occurrence.

Keywords
Contraception; Intrauterine device
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