宫内节育器异位导致结肠穿孔一例

doi:10.12280/gjszjk.20230122

摘要/Abstract

摘要：

宫内节育器异位是避孕节育的并发症。报告1例33岁女性，放置宫内节育器已6年，性生活后突发急腹痛，最初考虑急性盆腔炎，入院后经过4 d抗感染治疗，因腹痛未见好转，且影像学检查提示盆腔包块增大，故行开腹探查术，最终诊断为宫内节育器异位、子宫穿孔、肠穿孔、卵巢子宫内膜样囊肿。结合该病例资料，对宫内节育器异位以及妇产科急腹痛相关内容进行文献复习，以期提高临床医生对急腹痛的重视和认识，使患者得到及时救治。

关键词: 宫内节育器异位, 宫内避孕器, 腹痛, 急腹症, 子宫穿孔, 肠穿孔

Abstract:

Ectopia of intrauterine device (IUD) is a complication of contraception. The case was reported that a 33-year-old woman who had been placed with an IUD for 6 years and had a sudden acute abdominal pain after sex life. Acute pelvic inflammatory disease was initially considered. After 4 days of anti-infection treatment after admission, abdominal pain was not relieved. The imaging examination indicated the enlargement of pelvic mass, so exploratory laparotomy was performed. The final diagnosis was ectopic IUD, uterine perforation, intestinal perforation, and endometrioid cyst of ovarian. Combined with the literature review on ectopic IUD and gynecological acute abdominal pain, the clinical data of this case was presented in order to improve the attention and understanding of clinicians on acute abdominal pain and to treat timely these patients.

Key words: Ectopic intrauterine device, Intrauterine devices, Abdominal pain, Abdomen, acute, Uterine perforation, Intestinal perforation

何玉花, 王永胜, 吴华彬. 宫内节育器异位导致结肠穿孔一例[J]. 国际生殖健康/计划生育杂志, 2023, 42(6): 467-470.

HE Yu-hua, WANG Yong-sheng, WU Hua-bin. Perforation of Colon Due to Ectopic Intrauterine Device: A Case Report[J]. Journal of International Reproductive Health/Family Planning, 2023, 42(6): 467-470.

图/表 2

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