MIGRATION OF AN INTRAUTERINE DEVICE TO THE SIGMOID COLON. Rahimiçi aracın sigmoid kolona migrasyonu.

ABSTRACT Uterine perforation is aserious problem which can occur after intrauterine device (IUD) insertion. Migration of IUD to the pelvic and abdominal cavity or adjacent organs may follow the perforation of the uterus. Migration to a far intra-abdominal site is extremely rare. The patient reported here had 2 years history of IUD placement and had slight gastrointestinal problems during this period. She got pregnant despite an IUD. The IUD was incidentally seen in sigmoid colon mesentery at the secarean section and than referred to us. This paper presents a case of a 32-year old woman with a copper IUD in the sigmoid colon mesentery noticed during her caesarean section. In this report, clinical presentation and management of this condition were discussed with the literature knowledge. OZET Rahim ici arac (RIA) yerlestirilmesi sonrasi ortaya cikabilen uterus perforasyonu ciddi bir problemdir. Pelvik ve abdominal bosluk ile komsu organlara RIA gocu uterus perforasyonunu takip edebilir. Bu gocun uzak batin ici bolgeye olmasi oldukca nadir gorulur. Bu yazida RIA yerlestirilmesi sonrasi 2 yillik gecmisi olan ve bu periyotta gastrointestinal problemleri ortaya cikan bir hastayi sunduk. Bu hasta ayni zamanda RIA ya ragmen hamile kalmistir. RIA sezaryen sirasinda rastlantisal olarak gorulmus ve hastanemize refere edilmistir. Bu yazida sezaryen sirasinda sigmoid kolon mezosunda bakir RIA oldugu saptanan 32 yasinda bayan hasta sunuldu ve bu durumun klinigi ve yonetimi literatur bilgileriyle tartisildi.