Colouterine Fistula Caused by Intrauterine Device Migration : A Case Report

Intrauterine device (IUD) is simple and long-term medical device contraception. The IUD is a one of safety long duration contraception with several systemic side effects. But it can also cause morbidity by migration into another organ. IUD migration is a one of rare complication. We present a 28-year-old woman came to surgery department presented with hematoschezia when menstrual period since one month ago. Physical examiation showed hemodynamically stable and no abnormality. According to pelvic x-ray examination showed corpus allienum of IUD projected in pelvic cavum as high as foramen III-IV sacralis anterior. Patient also examined for CT-Scan that showed corpus allienum 1000-2000 HU density (T-shape IUD) in uteri cavum penetrate right posterolateral wall of uteri into sigmoid colon as high as S3 vertebrae followed by pneumoperitoneum of Douglas cavum. Colonoscopy showed rectal bleeding due to corpus allienum of expulsion of IUD. IUD extraction may lead to difficulties using colonoscopy so she planned to laparoscopic procedure. Possible laparoscopic options for IUDs embedded in the bowel include device extraction and intracorporeal suturing, or resection of the affected segment with primary anastomosis. She underwent a laparoscopic surgery to IUD extraction, adhesiolisis, and colouterine fistula repair