Fallopian Tube Incarceration and Ectopic Intrauterine Device Caused by Uterine Perforation: A Case Report

doi:10.12280/gjszjk.20210437

Abstract

Abstract:

Describes case of fallopian tube incarceration and ectopic intrauterine device (IUD) was reported, which is caused by uterine perforation after transcervical resection of adhesions (TCRA) during lactation. The patient underwent TCRA during breastfeeding 18 months ago, and a T-shaped copper IUD was placed during the operation. Three months ago, the patient had intermittent lower abdominal pain. A strong echo of the IUD outside the myometrium, 0.5 cm beyond the serosal layer, was showed under ultrasound. After admission, the combined hysteroscopy and laparoscopic surgery were performed. The dense scar tissue was found at the fundus of the uterus under hysteroscopy, and no intrauterine device was seen. Laparoscopy showed that the fimbriae of the fallopian tube and part of the ampulla were incarcerated at the fundus of the uterus, and the longitudinal wall of the T-shaped IUD was seen passing through the uterine serosal layer. The incarcerated fallopian tube was repositioned and the IUD was removed. And then, uterine perforation was repaired. The patient was recovering well after surgery.

Key words: Uterine perforation, Intrauterine devices, copper, Case reports, Fallopian tube incarceration, Intrauterine adhesion

XU Qian, XIN Le, LIU Xin, WANG Jin-juan. Fallopian Tube Incarceration and Ectopic Intrauterine Device Caused by Uterine Perforation: A Case Report[J]. Journal of International Reproductive Health/Family Planning, 2022, 41(2): 121-124.

Figures/Tables 2

References 26

[1]	Kondo W, Bruns RF, Nicola MC, et al. Laparoscopic treatment of intrauterine fallopian tube incarceration[J]. Case Rep Obstet Gynecol, 2013, 2013:205957. doi: 10.1155/2013/205957. doi: 10.1155/2013/205957
[2]	Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy - is prevention possible?[J]. Acta Obstet Gynecol Scand, 2017, 96(12):1399-1403. doi: 10.1111/aogs.13209. doi: 10.1111/aogs.13209 URL
[3]	Song D, Xia E, Xiao Y, et al. Management of false passage created during hysteroscopic adhesiolysis for Asherman′s syndrome[J]. J Obstet Gynaecol, 2016, 36(1):87-92. doi: 10.3109/01443615. 2015.1030601. doi: 10.3109/01443615.2015.1030601 pmid: 26207696
[4]	Agostini A, Cravello L, Bretelle F, et al. Risk of uterine perforation during hysteroscopic surgery[J]. J Am Assoc Gynecol Laparosc, 2002, 9(3):264-267. doi: 10.1016/s1074-3804(05)60401-x. doi: 10.1016/s1074-3804(05)60401-x URL
[5]	许阡, 王祎祎, 臧春逸. 宫腔粘连临床病因学及诊疗研究进展[J]. 国际妇产科学杂志, 2021, 48(2):224-229,240. doi: 10.12280/gjfckx.20200820. doi: 10.12280/gjfckx.20200820
[6]	Sun X, Xue M, Deng X, et al. Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs)[J]. Gynecol Surg, 2018, 15(1):3. doi: 10.1186/s10397-017-1032-2. doi: 10.1186/s10397-017-1032-2 URL
[7]	Vahdat M, Gorginzadeh M, Mousavi AS, et al. Cystoscopic removal of a migrated intrauterine device to the bladder; a case report[J]. Contracept Reprod Med, 2019, 4:7. doi: 10.1186/s40834-019-0089-x. doi: 10.1186/s40834-019-0089-x URL
[8]	Rasyid N, Nainggolan HJ, Jonardi PA, et al. Early-onset complete spontaneous migration of contraceptive intrauterine device to the bladder in a post C-section patient: A case report[J]. Int J Surg Case Rep, 2021, 82:105850. doi: 10.1016/j.ijscr.2021.105850. doi: 10.1016/j.ijscr.2021.105850 URL
[9]	王丽, 李晓, 董渠龙, 等. 哺乳期放置宫内节育器致子宫穿孔并节育器异位盆腔一例并文献复习[J]. 国际生殖健康/计划生育杂志, 2020, 39(5):391-393. doi: 10.3969/j.issn.1674-1889.2020. 05.010. doi: 10.3969/j.issn.1674-1889.2020. 05.010
[10]	Anthony MS, Reed SD, Armstrong MA, et al. Design of the Association of Uterine Perforation and Expulsion of Intrauterine Device study: a multisite retrospective cohort study[J]. Am J Obstet Gynecol, 2021, 224(6):599.e1-599.e18. doi: 10.1016/j.ajog.2021. 01.003. doi: 10.1016/j.ajog.2021. 01.003
[11]	Nkwabong E, Ourtchingh C, Mvondo T. An induced abortion complicated by fallopian tube incarceration in the uterine cavity[J]. J Obstet Gynaecol India, 2014, 64(Suppl 1):32-33. doi: 10.1007/s13224-013-0443-x. doi: 10.1007/s13224-013-0443-x
[12]	周燕飞, 范幸, 刘晶, 等. 陈旧性子宫穿孔合并输卵管嵌顿2例并文献复习[J]. 中华生殖与避孕杂志, 2021, 41(2):159-162. doi: 10.3760/cma.j.cn101441-20200224-00080. doi: 10.3760/cma.j.cn101441-20200224-00080
[13]	Tchuenkam LW, Mbonda AN, Tochie JN, et al. Transvaginal strangulated bowel evisceration through uterine perforation due to unsafe abortion: a case report and literature review[J]. BMC Womens Health, 2021, 21(1):98. doi: 10.1186/s12905-021-01247-y. doi: 10.1186/s12905-021-01247-y pmid: 33663467
[14]	Procas-Ramon B, Polo-Oliveros L, Gabasa-Gorgas L, et al. Hysteroscopic management of omentum incarceration secondary to uterine perforation: Case report and review of literature[J]. J Obstet Gynaecol Res, 2020, 46(9):1916-1920. doi: 10.1111/jog.14355. doi: 10.1111/jog.14355 URL
[15]	李爱明, 马亚宁, 白雪, 等. 陈旧性子宫穿孔伴输卵管嵌顿1例及文献复习[J]. 中国计划生育和妇产科, 2020, 12(2):89-92,95. doi: 10.3969/j.issn.1674-4020.2020.02.24. doi: 10.3969/j.issn.1674-4020.2020.02.24
[16]	Boujenah J, Benoit B, Djafer R, et al. Intrauterine fallopian tube intussusception after vacuum aspiration: Sonographic features and differential diagnosis[J]. Eur J Obstet Gynecol Reprod Biol, 2017, 216:264-266. doi: 10.1016/j.ejogrb.2017.06.039. doi: S0301-2115(17)30316-0 pmid: 28693844
[17]	Akad M, Tardif D, Fawzy A, et al. Management of an Intrauterine Device Migration Resulting in a Pregnancy-Clinical Case[J]. Maedica(Bucur), 2020, 15(4):549-551. doi: 10.26574/maedica.2020.15.4.549. doi: 10.26574/maedica.2020.15.4.549
[18]	Goldbach AR, Hava S, Patel H, et al. IUD embedment in the fallopian tube: An unexpected location for a translocated IUD[J]. Radiol Case Rep, 2018, 13(4):788-792. doi: 10.1016/j.radcr.2018. 04.030. doi: 10.1016/j.radcr.2018. 04.030 URL
[19]	杨华, 彭萍, 刘欣燕, 等. 宫内节育器嵌顿临床特点及诊疗方式[J]. 协和医学杂志, 2019, 10(4):364-366. doi: 10.3969/j.issn.1674-9081.2019.04.010. doi: 10.3969/j.issn.1674-9081.2019.04.010
[20]	Camus MF, Chauvet P, Hordonneau C, et al. Laparoscopic Management of an Intrauterine Fallopian Tube Incarceration After Curettage for a Non-progressing Pregnancy[J]. J Minim Invasive Gynecol, 2019, 26(5):805. doi: 10.1016/j.jmig.2018.09.770. doi: 10.1016/j.jmig.2018.09.770 URL
[21]	Simó Alari F, Gutierrez I. Intrauterine device extraction through laparoscopic hysterotomy[J]. Eur J Contracept Reprod Health Care, 2021, 26(3):261-263. doi: 10.1080/13625187.2020.1862080. doi: 10.1080/13625187.2020.1862080 URL
[22]	Boughizane S, Bannour B, Rjiba G, et al. Intrauterine Fallopian Tube Incarceration After Vacuum Aspiration for Pregnancy Termination Causes Infertility[J]. J Minim Invasive Gynecol, 2020, 27(2):254-255. doi: 10.1016/j.jmig.2019.05.020. doi: 10.1016/j.jmig.2019.05.020 URL
[23]	杨孜, 段华, 金力, 等. 卡前列甲酯临床应用专家共识(2020年版)[J]. 中国实用妇科与产科杂志, 2020, 36(11):1091-1097. doi: 10.19538/j.fk2020110114. doi: 10.19538/j.fk2020110114
[24]	盛春芝. 宫腔镜手术中子宫穿孔的影响因素分析[J]. 中国妇幼保健, 2020, 35(6):1001-1004. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.06.009. doi: 10.19829/j.zgfybj.issn.1001-4411.2020.06.009
[25]	Huang X, Li TC, Xia E. Hysteroscopic adhesiolysis using the "ploughing technique"[J]. Ann Transl Med, 2020, 8(13):811. doi: 10.21037/atm.2020.03.226. doi: 10.21037/atm.2020.03.226 URL
[26]	AAGL Elevating Gynecologic Surgery. AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)[J]. Gynecol Surg, 2017, 14(1):6. doi: 10.1186/s10397-017-1007-3. doi: 10.1186/s10397-017-1007-3 URL