Deshmukh Swati, Ghanouni Pejman, Jeffrey R Brooke
Department of Radiology, Stanford University, 300 Pasteur Drive H1307, Stanford, CA 94305-5105, USA.
J Clin Ultrasound. 2009 Sep;37(7):414-6. doi: 10.1002/jcu.20591.
Uterine perforation is an uncommon complication of intrauterine devices (IUDs). Perforating IUDs can migrate to various locations but paradoxically are rarely found in ovaries or broad ligament. We describe an unusual case of a 23-year-old woman 1-month postpartum with an IUD translocation to the right adnexa. The IUD was inserted only 1 week prior to presentation, and she experienced pain on insertion. After visualization by ultrasound, the IUD was laparoscopically removed. We suggest early use of ultrasound in cases of potential IUD migration, particularly in high-risk patients and when IUD insertion causes pain.
子宫穿孔是宫内节育器（IUD）的一种罕见并发症。穿孔的宫内节育器可迁移至不同部位，但矛盾的是，很少在卵巢或阔韧带中发现。我们描述了一例不寻常的病例，一名23岁产后1个月的女性，其宫内节育器移位至右附件区。该宫内节育器在就诊前仅1周插入，插入时她感到疼痛。经超声检查后，通过腹腔镜将宫内节育器取出。我们建议，对于可能发生宫内节育器迁移的情况，尤其是高危患者以及宫内节育器插入引起疼痛时，应尽早使用超声检查。
