Transanal Removal of Misplaced Intrauterine Contraceptive Device
Keywords:
IUCD complications, Uterine perforation, Rectal perforation, Sigmoidoscopy, Transanal removalAbstract
Abstract: Intrauterine contraceptive devices are among the most effective forms of contraceptives worldwide. However few complications have been associated with it including uterine perforation which may lead to bowel injury. This is a case of 34-year-lady who had Intra Uterine Copper Device (IUCD) placed 6 years ago. She presented with feeling of strings of IUCD through anus, low backache, and non-cyclical bleeding per rectum for last four months. On sigmoidoscopy, a Copper-T Device was found lodged in anterior rectal wall, which was successfully removed with mild traction transanally. A simple clinical examination i.e digital rectal examination followed by proctosigmoidoscopy, diagnosed and led to complete treatment of the patient, with no post-operative complications.