A new endoscopic method of retrieval of a migrated and transmurally embedded intrauterine contraceptive device in the rectum

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• 作者：T. S. Chandrasekar ; B. J. Gokul ; K. Raja Yogesh…
• 关键词：Copper ; T migration ; Endoscopic retrieval ; Hematochezia ; Intrauterine contraceptive device ; Mucosotomy
• 刊名：Indian Journal of Gastroenterology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：35
• 期：6
• 页码：489-491
• 全文大小：
• 刊物主题：Gastroenterology; Hepatology;
• 出版者：Springer India
• ISSN：0975-0711
• 卷排序：35

文摘

A 45-year-old lady presented with left lower quadrant abdominal pain and hematochezia of 1 month duration. She had Copper-T, an intrauterine contraceptive device (IUCD) inserted in the immediate post-partum period 25 years ago elsewhere and was lost to follow up. CT abdomen done 2 weeks earlier before reporting to us revealed a migrated and translocated IUCD embedded in the right lateral wall of the rectum. On colonoscopy, an area of friable mucosal nodule was noticed in the right lateral wall 10 cm from the anal verge but the IUCD was not visible intraluminally. Fluoroscopy showed the horizontal limb lying in close approximation with the rectal wall and the vertical limb of the IUCD embedded at the site of mucosal nodule in the rectum. After a careful endoscopic mucosotomy, the vertical limb was exposed and the Copper-T in its entirety was retrieved using a polypectomy snare. The mucosal defect was closed with hemoclips. She became asymptomatic after the procedure.