article = {SCR-2021-4-101}
title = {Rectovaginal Fistula on Migration of an Intrauterine Device: A Case Report and Literature Review}
journal = {Surgical Case Reports}
year = {2021}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2021.04.01}
url = {https://www.sciencerepository.org/rectovaginal-fistula-on-migration-of-an-intrauterine-device_SCR-2021-4-101 
author = {Sophie  Schoenen,Pascal  De Leeuw,Vlad-Adrian  Alexandrescu,Christian  Ngongang,}
keywords = {Intrauterine device, migration, rectovaginal fistula, laparoscopic surgery}
abstract ={Intrauterine devices (IUDs) are effective methods of contraception widely used worldwide because of their efficacy, low cost, and reversibility. Although overall well-tolerated, they may, however, cause uterine perforation, a rare but serious complication that can endanger adjacent abdominal organs. We report the case of a 50-year-old woman who consulted a gastroenterologist three years ago for the detection of blood in her feces on a screening test (Hémoccult°). Colonoscopy and abdominopelvic imaging discovered a displaced IUD embedded in the recto-sigmoidal wall. A wait-and-see approach was proposed at that time because of the absence of symptoms. Three years later, she developed abdominal and pelvic pain. On a second laparoscopic surgery procedure, we removed the IUD. Intraoperatively, a rectovaginal fistula was also discovered and sutured in different anatomical planes. Based on a comprehensive review of the literature, the management of this case is confronted with guidelines available for this rare condition.}