Medicine · 2018
Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Zhou Xin-Xin, Yu Mo-Sang, Gu Meng-Li, Zhong Wei-Xiang, Wu Hong-Ru, Ji Feng, Pan Hang-Hai
Аннотация
RATIONALE: Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.
PATIENT CONCERNS: This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically.
DIAGNOSES: Sigmoid colon translocation of an intrauterine device.
INTERVENTIONS: To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD.
OUTCOMES: The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation.
LESSONS: The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD.
PATIENT CONCERNS: This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically.
DIAGNOSES: Sigmoid colon translocation of an intrauterine device.
INTERVENTIONS: To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD.
OUTCOMES: The translocated IUD was removed easily by surgery, and the patient recovered soon after the operation.
LESSONS: The present case indicates that an annual gynaecologic examination is necessary to determine the position of the IUD, and a CT examination may help confirm an ectopic IUD.