Frontiers in Medicine (Mar 2022)

Is It a “Colon Perforation”? A Case Report and Review of the Literature

  • Shuangshuang Lu,
  • Shuangshuang Lu,
  • Xinyu Yao,
  • Jun Shi,
  • Jian Huang,
  • Shaohua Zhuang,
  • Junfang Ma,
  • Yan Liu,
  • Wei Zhang,
  • Lifei Yu,
  • Ping Zhu,
  • Qiuwei Zhu,
  • Ruxia Shi,
  • Hong Zheng,
  • Dong Shao,
  • Yuyan Pan,
  • Shizhen Bao,
  • Li Qin,
  • Lijie Huang,
  • Wenjia Liu,
  • Wenjia Liu,
  • Jin Huang,
  • Jin Huang

DOI
https://doi.org/10.3389/fmed.2022.817029
Journal volume & issue
Vol. 9

Abstract

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BackgroundIntrauterine devices (IUDs) are commonly used as a contraceptive method. IUD migration and colon perforation are rare but serious complications occurring sometimes years after insertion.CaseA 42-year-old woman with complaints of slight abdominal pain underwent a colonoscopy. Colonoscopy showed that a “nail” had penetrated the ascending colon wall and that an arm of the “nail” was embedded in the colon wall. We did not remove the “nail” rashly under colonoscopy. Considering the safety and effectiveness of the patient's operation, we were able to remove the “nail” easily by performing laparoscopic-endoscopic cooperative surgery (LECS) combined with hysteroscopy at the same time.ConclusionWe report a case of successful removal of a colonic perforation device by colonoscopy, laparoscopy, and hysteroscopy, which is the first method used.

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