{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:42:22Z","timestamp":1791502942283,"version":"4.3.4"},"reference-count":15,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,27]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Intrauterine contraceptive device (IUCD) is a common birth control method. It is safe but can be associated with serious complications including migration into the peritoneal cavity and penetration into other intra-abdominal and pelvic viscera; most commonly the rectosigmoid colon. Different retrieval methods including endoscopy, laparoscopy or open abdominal surgery have been described. We report the case of 38-year-old woman who became pregnant shortly after insertion of the IUCD 6 years prior to presentation. She delivered vaginally and \u2018expulsion\u2019 of the device was assumed. Some 4 years later, she had another IUCD inserted and remained asymptomatic till she recently presented with iron-deficiency anaemia. As part of the investigation, diagnostic colonoscopy was performed. Surprisingly, the old IUCD was found penetrating into the midrectum. Uneventful endoscopic removal was performed and she remained well at 3-month follow-up. Migrating IUCD remains asymptomatic and may be discovered accidentally during routine investigation for some other symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2019-231410","type":"journal-article","created":{"date-parts":[[2019,9,13]],"date-time":"2019-09-13T04:55:31Z","timestamp":1568350531000},"page":"e231410","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic removal of an incidentally discovered intrauterine contraceptive device eroding into the rectum"],"prefix":"10.1136","volume":"12","author":[{"given":"Mahdi Abdulrasoul","family":"Al Sahaf","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahaa Farouk","family":"Bseiso","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami Abdulmohsin","family":"Al-Momen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2309-7015","authenticated-orcid":false,"given":"Abdul-Wahed Nasir","family":"Meshikhes","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,12]]},"reference":[{"key":"2025082709251444000_12.9.e231410.1","unstructured":"\u00a0United Nations Department of Economic and Social Affair, Population Division. World Contraceptive Use 2011. https:\/\/www.un.org\/en\/development\/desa\/population\/publications\/family\/contraceptive-wallchart-2011.asp."},{"key":"2025082709251444000_12.9.e231410.2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.ejogrb.2011.07.003","article-title":"Minimally invasive approach to cases of lost intra-uterine device: a 7-year experience","volume":"159","author":"Cetinkaya","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082709251444000_12.9.e231410.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.04.015"},{"key":"2025082709251444000_12.9.e231410.4","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/1752-1947-8-81","article-title":"Sigmoid colocolic fistula caused by intrauterine device migration: a case report","volume":"8","author":"Weerasekera","year":"2014","journal-title":"J Med Case Rep"},{"issue":"S 01","key":"2025082709251444000_12.9.e231410.5","doi-asserted-by":"crossref","DOI":"10.1055\/s-0034-1392973","article-title":"Intrauterine device removal from the sigmoid colon during a screening colonoscopy","volume":"47","author":"Garc\u00eda-Rodr\u00edguez","year":"2015","journal-title":"Endoscopy"},{"key":"2025082709251444000_12.9.e231410.6","doi-asserted-by":"crossref","first-page":"317","DOI":"10.3109\/01443610903585200","article-title":"Laparoscopic removal of a migrated intrauterine contraceptive device","volume":"30","author":"Meshikhes","year":"2010","journal-title":"J Obstet Gynaecol"},{"key":"2025082709251444000_12.9.e231410.7","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjw004"},{"key":"2025082709251444000_12.9.e231410.8","doi-asserted-by":"publisher","DOI":"10.1080\/13625180801892868"},{"key":"2025082709251444000_12.9.e231410.9","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s00404-008-0716-2","article-title":"Colon penetration by a copper intrauterine device: a case report with literature review","volume":"279","author":"Arslan","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"2025082709251444000_12.9.e231410.10","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000009840","article-title":"Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: a case report","volume":"97","author":"Zhou","year":"2018","journal-title":"Medicine"},{"key":"2025082709251444000_12.9.e231410.11","doi-asserted-by":"publisher","DOI":"10.4293\/108680810X12924466006684"},{"key":"2025082709251444000_12.9.e231410.12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/207659","article-title":"Sigmoid colon migration of an intrauterine device","volume":"2014","author":"Akpinar","year":"2014","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082709251444000_12.9.e231410.13","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ijscr.2017.10.038","article-title":"Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: a case report and review of the literature","volume":"42","author":"Toumi","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082709251444000_12.9.e231410.14","doi-asserted-by":"crossref","first-page":"320","DOI":"10.17235\/reed.2019.5974\/2018","article-title":"Colorectal penetration by two intrauterine devices","volume":"111","author":"Tavecchia","year":"2019","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082709251444000_12.9.e231410.15","doi-asserted-by":"publisher","DOI":"10.1080\/13625180500200744"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-231410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:25:24Z","timestamp":1756311924000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-231410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":15,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,12]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2019-231410"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-231410","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}