Is It a “Colon Perforation”? A Case Report and Review of the Literature

Frontiers in Medicine

Shuangshuang Lu¹  Wei Zhang¹  Jin Huang¹  Jun Shi¹  Ping Zhu¹  Shizhen Bao¹  Lijie Huang¹  Wenjia Liu¹  Qiuwei Zhu¹  Jian Huang¹  Yuyan Pan¹  Yan Liu¹  Ruxia Shi¹  Dong Shao¹  Xinyu Yao¹  Li Qin¹  Shaohua Zhuang¹  Hong Zheng¹  Lifei Yu¹  Junfang Ma¹ 

[1] School of Medicine, Dalian Medical University, Dalian, China;The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China;

关键词: intrauterine devices;    colon perforation;    migration;    laparoscopic-endoscopic cooperative surgery;    hysteroscopy;   

DOI  :  10.3389/fmed.2022.817029

来源: DOAJ

【 摘 要 】

BackgroundIntrauterine devices (IUDs) are commonly used as a contraceptive method. IUD migration and colon perforation are rare but serious complications occurring sometimes years after insertion.CaseA 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.ConclusionWe report a case of successful removal of a colonic perforation device by colonoscopy, laparoscopy, and hysteroscopy, which is the first method used.

【 授权许可】

Unknown