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

Frontiers in Medicine

article

Shuangshuang Lu¹  Xinyu Yao²  Jun Shi²  Jian Huang²  Shaohua Zhuang²  Junfang Ma²  Yan Liu²  Wei Zhang²  Lifei Yu²  Ping Zhu²  Qiuwei Zhu²  Ruxia Shi²  Hong Zheng²  Dong Shao²  Yuyan Pan²  Shizhen Bao²  Li Qin²  Lijie Huang²  Wenjia Liu¹  Jin Huang¹ 

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

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

DOI  :  10.3389/fmed.2022.817029

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

CC BY