Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp

Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp AbstractRationale:Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.Patient concerns:This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the “polyp” was not able to be removed endoscopically.Diagnoses:Sigmoid colon translocation of an intrauterine device.Interventions:To further clarify the diagnosis, computed tomography (CT) scan was performed and the “polyp” was confirmed to be caused by a translocated IUD.Outcomes:The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation.Lessons:The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medicine Wolters Kluwer Health

Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
ISSN
0025-7974
eISSN
1536-5964
D.O.I.
10.1097/MD.0000000000009840
Publisher site
See Article on Publisher Site

Abstract

AbstractRationale:Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.Patient concerns:This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the “polyp” was not able to be removed endoscopically.Diagnoses:Sigmoid colon translocation of an intrauterine device.Interventions:To further clarify the diagnosis, computed tomography (CT) scan was performed and the “polyp” was confirmed to be caused by a translocated IUD.Outcomes:The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation.Lessons:The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD.

Journal

MedicineWolters Kluwer Health

Published: Feb 1, 2018

References

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