PMID: 9437564Jan 23, 1998Paper

Colocolic fistula caused by a previously inserted intrauterine device. Case report

Contraception
I R Pirwany, K Boddy

Abstract

Uterine perforation remains the most serious complication of the intrauterine contraceptive device (IUD). It is more common in the puerperium, usually occurring at the time of insertion of a new device. Perforation may, however, also occur in the puerperium if a pre-existing device is not removed in early pregnancy or extruded at the time of delivery. The case is presented of a 30-year-old woman who became pregnant for the third time following insertion of an IUD in the puerperium of her second pregnancy. An uneventful pregnancy and delivery followed. Failure to detect the IUD at the time of delivery led to laparoscopy and laparotomy to locate the device. A colotomy was necessary to retrieve the device, which had formed a colocolic fistula. It is concluded that the puerperium remains the time of greatest risk of uterine perforation by an IUD. Although most occur at the time of insertion, this complication can also occur with a previously inserted device. Severe intra-abdominal complications may ensue if the device is not localized and removed. Laparotomy is justified if the laparoscopic removal is unsuccessful. A high degree of suspicion is necessary if serious consequences are to be avoided.

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Jan 1, 1991·Contraception·A Adoni, A Ben Chetrit
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Citations

Dec 20, 2008·Archives of Gynecology and Obstetrics·Usha Verma, Nupur Verma
Sep 1, 2005·Emergency Radiology·Jeffrey M Levsky, Mark Herskovits
Sep 3, 2002·Contraception·Ofer MarkovitchYoram Beyth
Jul 30, 2011·Evidence-based Complementary and Alternative Medicine : ECAM·Kun-Teng WangChing-Chiung Wang
Dec 6, 2007·Australasian Radiology·T BartalenaG Gavelli
Mar 7, 2014·Journal of Medical Case Reports·Amila WeerasekeraNilhan Nugaduwa
Sep 25, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kenan ErtopcuYusuf Yildirim
Mar 14, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hillary E BoortzBarbara M Kadell
Jan 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Mete GüngörFïrat Ortaç
Dec 24, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Ö ŞengülŞ Altinbaş
Nov 26, 2014·The Journal of Obstetrics and Gynaecology Research·Elif AgacayakSerdar Basaranoglu
May 10, 2008·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Loïc SentilhesPhilippe Descamps
Jul 23, 2005·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·M IngecO Ozdiller
Jan 12, 2011·Journal of the Korean Society of Coloproctology·Jung Min ParkDong Hyun Lee
Apr 9, 2010·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A-W N MeshikhesA A Al-Zahir
Oct 22, 2020·Medicine·Yongyu AnGuoqun Mao

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