Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
DZIB-CALAN, EA et al. Endoscopic management in the migration to rectum of an intrauterine device. Case report. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.2, pp.146-150. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i2.1839.
BACKGROUND
Perforation is the most important complication during the application of an intrauterine device, which should be removed because of the potential risk of perforation and intestinal obstruction.
CASE REPORT
Female patient of 26 years of age, who presents menstrual rhythm disorders as well as dyspareunia. The tomography revealed the intrauterine device in the rectum, in the anterior wall, intraluminal, and 10 cm from the anal sphincter. It was scheduled for colonoscopy and device removal. The intraoperative findings were: migration of the intrauterine device, 12 cm from the anal margin, with adequate exposure of the vertical arm. The extraction of the device was successful. The patient had a satisfactory evolution, showed no pain or intestinal alterations.
CONCLUSION
Colonoscopy is a study of great help in all patients in whom migration of IUD with bowel disease without perforation and related complications is suspected, since it provides diagnostic and even therapeutic support, prior to considering a laparoscopy or laparotomy.
Palabras llave : Intrauterine device; Rectum; Colonoscopy; Uterine perforation; Device removal; Laparoscopy; Laparotomy.