Eli S F, Olisa E, Abam D S, Enyindah C E
Niger J Med. 2015 Jul-Sep;24(3):273-6.
Perforation of the uterus following transmigration of Intra-uterine devise (IUD) is an uncommon finding of insertion of IUD. There is associated increased risk of accidental pregnancy,morbidity and mortality.
To report a rare clinical condition in which there was uterine perforation following migration of IUD and to increase awareness of this condition in our environment.
A 37 year old para 6⁺⁰ woman (all alive) who presented with a ten day history of lower abdominal pains following IUD insertion. Examination revealed tenderness in the suprapubic region and non-visualization of IUD thread per vaginam. Pelvic USS showed an empty uterine cavity while an abdominopelvic x-ray following tracer IUD insertion showed the IUD to be outside the uterine cavity. She had an exploratory laparotomy for retrieval of transmigrated IUD and repair of perforated uterus.
Transmigrated IUD with uterine perforation is distressing uncommmon clinical condition, and it is reported with the hope of increasing the awareness and possibly prevent this avoidable uncommon complication.
宫内节育器（IUD）移位后子宫穿孔是IUD放置过程中一种不常见的情况。其会使意外妊娠、发病率和死亡率的风险增加。
报告一例IUD移位后发生子宫穿孔的罕见临床病例，并提高我们所在环境中对该病症的认识。
一名37岁经产6⁺⁰妇女（所有子女均存活），在放置IUD后出现下腹部疼痛10天的病史。检查发现耻骨上区压痛，经阴道未见到IUD尾丝。盆腔超声显示子宫腔空虚，而在注入示踪剂后进行的腹部盆腔X光检查显示IUD位于子宫腔外。她接受了剖腹探查术以取出移位的IUD并修复穿孔的子宫。
IUD移位合并子宫穿孔是一种令人困扰的不常见临床病症，报告此病例希望能提高认识，并有可能预防这种可避免的不常见并发症。
