|
1
|
Han JH, Yu EH, Joo JK, Kim MJ, Choi JB, Jung HJ, Jo HJ, Lee BC. Laparoscopic management of bowel perforation secondary to levonorgestrel-releasing intrauterine device migration: a case report and review of literature. J Surg Case Rep 2024; 2024:rjae522. [PMID: 39220169 PMCID: PMC11364457 DOI: 10.1093/jscr/rjae522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 07/31/2024] [Indexed: 09/04/2024] Open
Abstract
Bowel perforation secondary to a levonorgestrel-releasing intrauterine device is exceptionally rare. We present the case of a woman who exhibited abnormal findings during a colonoscopy examination. Despite undergoing an intrauterine device (IUD) insertion procedure for contraception in 2000, attempts for its removal in 2007 were unsuccessful due to the inability to locate the IUD. In 2022, she presented with intermittent hematochezia and lower left abdominal pain. Subsequent colonoscopy and abdominal computed tomography confirmed the presence of the IUD penetrating the uterine wall and entering the colon. Laparoscopic anterior resection was performed, and the patient's postoperative recovery was uneventful, indicating the viability of laparoscopic treatment as a valuable option.
Collapse
Affiliation(s)
- Jeong Hee Han
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Eun Hee Yu
- Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Jong Kil Joo
- Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Min Ju Kim
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Jung Bum Choi
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Hyuk Jae Jung
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Hong Jae Jo
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| | - Byoung Chul Lee
- Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea
| |
Collapse
|
|
2
|
Lu S, Yao X, Shi J, Huang J, Zhuang S, Ma J, Liu Y, Zhang W, Yu L, Zhu P, Zhu Q, Shi R, Zheng H, Shao D, Pan Y, Bao S, Qin L, Huang L, Liu W, Huang J. Is It a "Colon Perforation"? A Case Report and Review of the Literature. Front Med (Lausanne) 2022; 9:817029. [PMID: 35360735 PMCID: PMC8960373 DOI: 10.3389/fmed.2022.817029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 02/04/2022] [Indexed: 11/30/2022] Open
Abstract
Background Intrauterine devices (IUDs) are commonly used as a contraceptive method. IUD migration and colon perforation are rare but serious complications occurring sometimes years after insertion. Case A 42-year-old woman with complaints of slight abdominal pain underwent a colonoscopy. Colonoscopy showed that a "nail" had penetrated the ascending colon wall and that an arm of the "nail" was embedded in the colon wall. We did not remove the "nail" rashly under colonoscopy. Considering the safety and effectiveness of the patient's operation, we were able to remove the "nail" easily by performing laparoscopic-endoscopic cooperative surgery (LECS) combined with hysteroscopy at the same time. Conclusion We report a case of successful removal of a colonic perforation device by colonoscopy, laparoscopy, and hysteroscopy, which is the first method used.
Collapse
Affiliation(s)
- Shuangshuang Lu
- The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China
- School of Medicine, Dalian Medical University, Dalian, China
| | - Xinyu Yao
- School of Medicine, Dalian Medical University, Dalian, China
| | - Jun Shi
- School of Medicine, Dalian Medical University, Dalian, China
| | - Jian Huang
- School of Medicine, Dalian Medical University, Dalian, China
| | - Shaohua Zhuang
- School of Medicine, Dalian Medical University, Dalian, China
| | - Junfang Ma
- School of Medicine, Dalian Medical University, Dalian, China
| | - Yan Liu
- School of Medicine, Dalian Medical University, Dalian, China
| | - Wei Zhang
- School of Medicine, Dalian Medical University, Dalian, China
| | - Lifei Yu
- School of Medicine, Dalian Medical University, Dalian, China
| | - Ping Zhu
- School of Medicine, Dalian Medical University, Dalian, China
| | - Qiuwei Zhu
- School of Medicine, Dalian Medical University, Dalian, China
| | - Ruxia Shi
- School of Medicine, Dalian Medical University, Dalian, China
| | - Hong Zheng
- School of Medicine, Dalian Medical University, Dalian, China
| | - Dong Shao
- School of Medicine, Dalian Medical University, Dalian, China
| | - Yuyan Pan
- School of Medicine, Dalian Medical University, Dalian, China
| | - Shizhen Bao
- School of Medicine, Dalian Medical University, Dalian, China
| | - Li Qin
- School of Medicine, Dalian Medical University, Dalian, China
| | - Lijie Huang
- School of Medicine, Dalian Medical University, Dalian, China
| | - Wenjia Liu
- The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China
- School of Medicine, Dalian Medical University, Dalian, China
| | - Jin Huang
- The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China
- School of Medicine, Dalian Medical University, Dalian, China
| |
Collapse
|