From the Department of Obstetrics and Gynecology; Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Obstet Gynecol. 2010 Feb;115(2 Pt 2):458-459. doi: 10.1097/AOG.0b013e3181bb2554.
Intrauterine devices (IUDs) are an effective means of contraception for many women worldwide. However, complications of insertion, such as uterine perforation, can lead to significant intraabdominal problems. We present a case of an abdominal wall abscess caused by an IUD 35 years after insertion.
A 52-year-old woman who had had an IUD placed approximately 35 years previously presented to our institution with fever and a left-lower-quadrant mass. A computed tomography scan demonstrated a foreign body consistent with an extrauterine IUD located within a multiloculated anterior abdominal wall fluid collection. An exploratory laparotomy confirmed that the abscess cavity involved the rectus musculature and contained the migrated IUD.
This case demonstrates an unusual location for a migrated IUD. It also argues for removal of a migrated or "lost" IUD to prevent future complications.
宫内节育器（IUD）是全球许多女性有效的避孕手段。然而，插入的并发症，如子宫穿孔，可能导致严重的腹腔问题。我们报告一例 35 年前放置的 IUD 导致的腹壁脓肿。
一位 52 岁女性，大约 35 年前放置了 IUD，因发热和左下腹肿块就诊于我院。CT 扫描显示一个与子宫外 IUD 一致的异物，位于多房性前腹壁积液中。剖腹探查证实脓肿腔累及腹直肌，包含移位的 IUD。
该病例表明，移位的 IUD 可位于不常见的位置。它还表明，应取出移位或“丢失”的 IUD，以防止未来出现并发症。
