Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report

    loading  Checking for direct PDF access through Ovid

Abstract

Rationale:

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.

Related Topics

    loading  Loading Related Articles