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

被引:5
作者
Lu, Shuangshuang [1 ,2 ]
Yao, Xinyu [2 ]
Shi, Jun [2 ]
Huang, Jian [2 ]
Zhuang, Shaohua [2 ]
Ma, Junfang [2 ]
Liu, Yan [2 ]
Zhang, Wei [2 ]
Yu, Lifei [2 ]
Zhu, Ping [2 ]
Zhu, Qiuwei [2 ]
Shi, Ruxia [2 ]
Zheng, Hong [2 ]
Shao, Dong [2 ]
Pan, Yuyan [2 ]
Bao, Shizhen [2 ]
Qin, Li [2 ]
Huang, Lijie [2 ]
Liu, Wenjia [1 ,2 ]
Huang, Jin [1 ,2 ]
机构
[1] Nanjing Med Univ, Affiliated Changzhou Peoples Hosp 2, Changzhou, Peoples R China
[2] Dalian Med Univ, Sch Med, Dalian, Peoples R China
关键词
intrauterine devices; colon perforation; migration; laparoscopic-endoscopic cooperative surgery; hysteroscopy; INTRAUTERINE-DEVICE; LAPAROSCOPIC REMOVAL; SIGMOID COLON; BOWEL; IUD;
D O I
10.3389/fmed.2022.817029
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
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.
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页数:5
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