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- Title
Laparoscopic management of bowel perforation secondary to levonorgestrel-releasing intrauterine device migration: a case report and review of literature.
- Authors
Han, Jeong Hee; Yu, Eun Hee; Joo, Jong Kil; Kim, Min Ju; Choi, Jung Bum; Jung, Hyuk Jae; Jo, Hong Jae; Lee, Byoung Chul
- Abstract
Bowel perforation secondary to a levonorgestrel-releasing intrauterine device is exceptionally rare. We present the case of a woman who exhibited abnormal findings during a colonoscopy examination. Despite undergoing an intrauterine device (IUD) insertion procedure for contraception in 2000, attempts for its removal in 2007 were unsuccessful due to the inability to locate the IUD. In 2022, she presented with intermittent hematochezia and lower left abdominal pain. Subsequent colonoscopy and abdominal computed tomography confirmed the presence of the IUD penetrating the uterine wall and entering the colon. Laparoscopic anterior resection was performed, and the patient's postoperative recovery was uneventful, indicating the viability of laparoscopic treatment as a valuable option.
- Subjects
LEVONORGESTREL intrauterine contraceptives; INTRAUTERINE contraceptives; LITERATURE reviews; COMPUTED tomography; LAPAROSCOPIC surgery; INTESTINAL perforation
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 8, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae522