[腹腔镜治疗宫内节育器所致阑尾周围炎]
[Laparoscopic treatment of peri-appendicitis caused by intrauterine contraceptive device].
作者信息
Coelho Júlio Cezar Uili, Gonçalves Carolina Gomes, Graf Christie Michelle
机构信息
Servicio de Cirurgia Geral do Hospital Nossa Senhora das Graças, Curitiba, Paraná, Brasil.
出版信息
Arq Gastroenterol. 2003 Jan-Mar;40(1):45-6. doi: 10.1590/s0004-28032003000100010. Epub 2003 Oct 6.
BACKGROUND
Intrauterine device may perforate the uterus and cause several complications.
AIM
To report a case of laparoscopic treatment of peri-appendicitis caused by intrauterine device.
PATIENT AND METHOD
A young female presented with pain in the right lower abdomen of 4 days of duration. On the physical examination, she had localized abdominal pain in the right lower abdomen with discrete guarding and pain on percussion and rebound tenderness. Ultrasonography showed an intrauterine device outside of the uterus, in the right lower of the abdomen.
RESULTS
At laparoscopy, an inflammatory mass that consisted of the intrauterine device blocked by the mesoappendix and the appendix was observed. Appendectomy and removal of the intrauterine device were performed.
CONCLUSION
Laparoscopy allows adequate treatment of peri-appendicitis caused by intrauterine device, inclusive with complete evaluation of the entire pelvic region to rule out associated complications
背景
宫内节育器可能会穿透子宫并引发多种并发症。
目的
报告一例腹腔镜治疗宫内节育器所致阑尾周围炎的病例。
患者与方法
一名年轻女性，右下腹痛4天。体格检查时，右下腹部有局限性腹痛，伴有明显的压痛和叩击痛及反跳痛。超声检查显示宫内节育器位于子宫外，右下腹。
结果
腹腔镜检查时，观察到一个炎性肿块，由被阑尾系膜包裹的宫内节育器和阑尾组成。进行了阑尾切除术和宫内节育器取出术。
结论
腹腔镜检查能够充分治疗宫内节育器所致阑尾周围炎，包括对整个盆腔区域进行全面评估以排除相关并发症。
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