Asymptomatic cecal perforation and ileocecal fistula after intrauterine device migration: a case report

被引：5
作者：
Almarhabi, Yahya [1 ,2 ,3 ]
机构：
[1] King Abdulaziz Univ, Fac Med, Dept Surg, POB 80215, Jeddah 21589, Makkah, Saudi Arabia
[2] King Abdulaziz Univ, Ctr Excellence Trauma & Accid, Jeddah, Makkah, Saudi Arabia
[3] King Abdulaziz Univ, Clin Skills & Simulat Ctr, Jeddah, Makkah, Saudi Arabia
来源：
JOURNAL OF SURGICAL CASE REPORTS | 2020年 / 04期
关键词：
D O I：
10.1093/jscr/rjaa015
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Implantation of an intrauterine device (IUD) is a common method for long-term contraception. However, IUDs can cause colon perforation and fistula formation.We report a case of cecal perforation and ileocecal fistula secondary to IUDmigration. The present study investigated incidental identification of a missing IUD after 9 years of deployment in a 35-year-old female with a three-year history of infertility. Abdominal imaging revealed a missing IUD. Intracecal perforation and ileocecal fistula consequent of IUD migration were identified during surgical exploration. Limited ileocecal resection was performed as an appropriate and safe surgical option. IUDmigration can present with serious complications. Patients considering IUDs should be educated about the importance of regular check-ups to monitor the position of the IUD. Thorough examination should be carried out if a missing IUD string is reported.
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页数：3
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