Sigmoid Colon Migration of an Intrauterine Device
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Introduction
Intrauterine devices are effective, safe, and widely used birth control methods, accounting for 16.5% use in undeveloped countries and 9.4% use in developed countries [1]. The incidence of uterine perforation by IUD is reported to be between 1.3 and 1.6 per 1000 insertions [2], which is relatively infrequent but potentially a serious complication. Perforations of IUD may occur either immediately by improper insertion or years after insertion by device migration.

We report a case of an IUD penetrated to the wall of sigmoid colon that became symptomatic two years after insertion and discuss management of this situation.

Case Report
A 34-year-old woman presented with chronic pelvic pain, dyspareunia, and occasional episodes of bright red blood in her stools attributed to anal fissure. She had a history of a copper-T 380A IUD insertion at the sixth week of her puerperal period. Six months later, during routine control in the family planning center, IUD was not visualized and was thought to be expulsed with the postpartum bleeding and a new intrauterine copper-T device was inserted....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129669/
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