同期腹腔镜胆囊切除术及取出移位至右膈下区域的宫内节育器：一例病例报告
Simultaneous laparoscopic cholecystectomy and removal of an intrauterine device translocated to the right subdiaphragmal region: a case report.
作者信息
Krasniqi Salih, Ahmeti Elvis, Hoxha Sejdullah A, Ymeri Halit, Shaqiri Ismet, Kastrati-Spahija Nexhmije B, Krasniqi Avdyl S
机构信息
Department of Surgery, University Clinical Centre of Kosova, Rrethi Spitalit str. p.n., Prishtina, 10000, Republic of Kosovo.
出版信息
Cases J. 2009 Aug 25;2:6198. doi: 10.4076/1757-1626-2-6198.
INTRODUCTION
Intrauterine devices are often accompanied by various complications, of which the uterine perforation constitutes the most dangerous one.
CASE PRESENTATION
We present a case of a 41-year-old woman complaining of right upper quadrant pain. She had an intrauterine device inserted 12 years earlier without regular follow-up. Abdominal plain X-ray revealed the intrauterine device trans-located into the right subdiaphragmal area. Abdominal ultrasound showed gallbladder stones without any other sonographic pathologic finding. Patient underwent simultaneous laparoscopic cholecystectomy and removal of the intrauterine device from the right subdiaphragmal area.
CONCLUSION
Laparoscopy is an appropriate method for removal of intrauterine device translocated to the right subdiaphragmatic region.
引言
宫内节育器常伴有各种并发症，其中子宫穿孔是最危险的一种。
病例报告
我们报告一例41岁女性，主诉右上腹疼痛。她12年前放置了宫内节育器，但未定期随访。腹部平片显示宫内节育器移位至右膈下区域。腹部超声显示有胆囊结石，无其他超声病理表现。患者同时接受了腹腔镜胆囊切除术，并从右膈下区域取出了宫内节育器。
结论
腹腔镜检查是取出移位至右膈下区域的宫内节育器的合适方法。
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