Format

Send to

Choose Destination
Indian J Gastroenterol. 2016 Nov;35(6):489-491. Epub 2016 Oct 31.

A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum.

Author information

1
Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India. tscmedindia@yahoo.com.
2
Medindia Hospitals, 83, Valluvar Kottam High Road, Nungambakkam, Chennai, 600 034, India.

Abstract

A 45-year-old lady presented with left lower quadrant abdominal pain and hematochezia of 1 month duration. She had Copper-T, an intrauterine contraceptive device (IUCD) inserted in the immediate post-partum period 25 years ago elsewhere and was lost to follow up. CT abdomen done 2 weeks earlier before reporting to us revealed a migrated and translocated IUCD embedded in the right lateral wall of the rectum. On colonoscopy, an area of friable mucosal nodule was noticed in the right lateral wall 10 cm from the anal verge but the IUCD was not visible intraluminally. Fluoroscopy showed the horizontal limb lying in close approximation with the rectal wall and the vertical limb of the IUCD embedded at the site of mucosal nodule in the rectum. After a careful endoscopic mucosotomy, the vertical limb was exposed and the Copper-T in its entirety was retrieved using a polypectomy snare. The mucosal defect was closed with hemoclips. She became asymptomatic after the procedure.

KEYWORDS:

Copper-T migration; Endoscopic retrieval; Hematochezia; Intrauterine contraceptive device; Mucosotomy

PMID:
27796939
DOI:
10.1007/s12664-016-0706-4
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center