Sepúlveda W H
Department of Obstetrics and Gynecology, Guillermo Grant Benavent Hospital, University of Concepción School of Medicine, Chile.
Eur J Obstet Gynecol Reprod Biol. 1990 May-Jun;35(2-3):275-8. doi: 10.1016/0028-2243(90)90173-x.
A case of a rare complication of a Copper-T intra-uterine contraceptive device (IUCD) producing uterine and rectal perforation is reported. The patient presented with the threads of the IUCD protruding through the anus and the device was removed from the rectum using a proctoscope. A review of the literature revealed only seven cases of perforation of the rectosigmoid by an IUCD in which the device was removed per rectum, and this report documents the first of such cases involving a Copper-T. Proctosigmoidoscopic evaluation is recommended whenever perforation of the rectosigmoid by an IUCD is suspected, since it may select those patients for whom rectal recovery of the IUCD is feasible, thus avoiding unnecessary surgical intervention.
本文报告一例铜T型宫内节育器（IUCD）引起子宫和直肠穿孔这一罕见并发症的病例。患者出现IUCD尾丝经肛门脱出，遂用直肠镜从直肠取出该装置。文献回顾显示，IUCD导致直肠乙状结肠穿孔且经直肠取出装置的病例仅有7例，本报告记录了首例此类涉及铜T型节育器的病例。当怀疑IUCD导致直肠乙状结肠穿孔时，建议进行直肠乙状结肠镜评估，因为这可以筛选出可行经直肠取出IUCD的患者，从而避免不必要的手术干预。
