Case Report

Missing Intrauterine Device with Sigmoid Colon Perforation: Presentation of a Neglected Case

  • Okan Özkaya
  • Mekin Sezik
  • Murat Bulut
  • Hakan Kaya

Turk J Obstet Gynecol 2009;6(2):128-131

Intrauterine devices are one of the most common employed methods of contraception in undeveloped and developing countries. They are quite effective and inexpensive. However, uterine perforations might be encountered during insertion. Here, we report a 38-year-old woman with uterine and sigmoid perforation associated with an intrauterine device. Uterine and colon perforation had not been diagnosed following 6 years of insertion despite a number of pelvic examinations and endometrial sampling procedure. Perforation of uterus should be sought if a previously inserted intrauterine device cannot be located in the uterine cavity. Minimally, an abdominopelvic X-radiograph should not be omitted in such an incident.

Keywords: intrauterine device, uterine perforation, colon perforation, X-radiograph