Intrauterine devices (IUDs) are commonly used contraceptive methods. Uterine perforation and device migration are rare but have been/are previously described as adverse events. Migration of the perforated IUD into the bowel is rare and generally requires surgical removal. We describe the endoscopic removal of an IUD embedded in the rectal wall in an otherwise healthy patient. Extraction of the IUD was uncomplicated, well tolerated, and followed by same-day hospital discharge. No prophylactic hemostasis or antimicrobial coverage was needed. We also present a comprehensive review of the reported endoscopic IUD removal. We recommend close investigation and follow-up when pregnancy or other potential signs of IUD migration occur. Endoscopic removal appears to be a safe and cost-effective technique for the extraction of IUDs that migrate into the bowel lumen.
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
2Department of Medicine, Schulich School of Medicine, Western University, London, Ontario, Canada
3Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
4Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
Correspondence: Nauzer Forbes, MD, MSc, FRCPC, Department of Medicine, Cumming School of Medicine, University of Calgary, TRW 6D19, 3280 Hospital Dr NW, Calgary, AB T2N 4Z6, Canada (firstname.lastname@example.org).
Received September 30, 2018
Accepted February 14, 2019
Online date: June 20, 2019
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