Sirikci A, Sarica K, Bayram M
Department of Radiology, University of Gaziantep Medical School, Gaziantep, Turkey.
Urol Int. 2000;65(3):179-80. doi: 10.1159/000064869.
Perforation of the uterus is rare but potentially fatal. During puerperium when the uterus is small and its wall is thin, the risk of perforation increases. We report a rare complication from an intrauterine contraceptive device (IUD) which caused deviation of the right ureter in a 31-year-old woman who presented with complaints of insomnia and abdominal pain. Our case shows that perforation of the uterus by an IUD can cause a silent urological complication. The possibility of ureteral involvement and displacement should be kept in mind in a woman in whom a missing IUD is encountered.
子宫穿孔虽罕见但有潜在致命风险。在产褥期，子宫较小且壁薄，穿孔风险会增加。我们报告一例罕见的宫内节育器（IUD）并发症，该并发症导致一名31岁女性右输尿管移位，该女性主诉失眠和腹痛。我们的病例表明，IUD所致子宫穿孔可引发隐匿性泌尿系统并发症。对于遇到IUD丢失的女性，应考虑输尿管受累及移位的可能性。
