Colonoscopic Removal of an Ectopic Intra Uterine Device Located within the Peritoneal Cavity and Embedded in the Proximal Sigmoid Colon Wall, Case Report and Review

Tagelsir Saeed, Ahmed Waqas and Roger Le Fur

Department of General Surgery, Newham University Hospital, UK

^*Correspondance to: Roger Le Fur 

 PDF  Full Text DOI: 10.25107/2474-1647.2233

Abstract

A migrated Intra Uterine Device penetrating the proximal sigmoid wall was associated with a pericolic abscess which was treated with antibiotics. Localized intra-peritoneal inflammation generated fibrosis and peri-colic encapsulation. This process of walling off the affected area allowed the endoluminal retrieval of the displaced IUD during a therapeutic colonoscopy, carried out under sedation. Although at higher risk of secondary general peritonitis than the endoscopic removal of a device located under the peritoneal reflection, the successful colonoscopic removal of a penetrating intraperitoneal colonic foreign body is feasible after a time interval under antibiotic cover.

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Cite the article

Saeed T, Waqas A, Le Fur R. Colonoscopic Removal of an Ectopic Intra Uterine Device Located within the Peritoneal Cavity and Embedded in the Proximal Sigmoid Colon Wall, Case Report and Review. Clin Surg. 2018; 3: 2233.