Perforation of the small bowel by a previously inserted intrauterine contraceptive device.
- Author:
Yeon Jung JUNG
1
;
Kyung Suk CHI
;
Jun Soo KIM
;
Hyeok HEO
;
Jee Young HWANG
;
Do Gyun KIM
;
Hoe Saeng YANG
;
Jae Chul SIM
Author Information
1. Department of Obstetrics and Gynecology, Dongguk University College of Medicine, Gyeong-ju, Korea. simjc@dongguk.ac.kr
- Publication Type:Case Report
- Keywords:
Intrauterine contraceptive device (IUD);
Small bowel perforation
- MeSH:
Abdominal Pain;
Contraception;
Diagnosis;
Humans;
Intrauterine Devices*;
Peritoneal Cavity;
Uterine Perforation
- From:Korean Journal of Obstetrics and Gynecology
2006;49(12):2646-2650
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intrauterine contraceptive device (IUD) is the most common contraceptive method in the world, but it exists a little risk of uterine perforation and even more severe risk such as a perforation of intra-abdominal organs. In this case, the patient recognized that the previously inserted IUD was translocated but she was asymptomatic without any management. After insertion of the second IUD, she visited our hospital for lower abdominal pain. The abdominal X-ray finding and transvaginal sonography revealed one translocated IUD in peritoneal cavity and another IUD in intrauterine cavity. Thus, we report a case with the laparoscopic diagnosis of small bowel perforation by a previously inserted IUD and its removal by segmental resection of small bowel after mini-laparotomy, along with the brief review.
