Ples Liana, Sima Romina Marina, Moisei Cristina, Ionescu Cringu Antoniu
Department of Obstetrics and Gynecology, Saint John Hospital, UMF Carol Davila Bucharest, Romania.
Department of Obstetrics and Gynecology, Saint John Hospital, Bucharest, Romania.
J Pak Med Assoc. 2017 Jan;67(1):131-133.
Intrauterine contraceptive devices (IUCD) are one of the most popular and modern means of contraception used worldwide. Some described complications include perforation, infection and ectopic pregnancy. Herein we report an uncommon complication of IUCD: perforation and migration in the terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since then it was prohibited in Romanian to use any contraception device or pills. The IUCD was placed clandestinely in uncertain condition and could never be checked after. An exploratory laparotomy evidenced the presence of IUCD migrated to terminal ileum. A 56-year-old woman presented to our institution with lower abdominal pain. She had had an IUCD placed 29 years previously. The IUCD was inserted in unsafe conditions since at that time it was prohibited in Romania to use any contraceptive device or pills. The IUCD was placed clandestinely in uncertain condition and a follow-up could not have been performed. An exploratory laparotomy evidenced the presence of IUCD which had migrated to the terminal ileum. This case demonstrates an unusual localisation of an IUCD in the ileum, but the particularity is that we found it after 29 years of its insertion and and the patient had no specific gastrointestinal symptoms.
宫内节育器（IUCD）是全球使用最广泛、最现代的避孕方式之一。一些已描述的并发症包括穿孔、感染和异位妊娠。在此，我们报告一例不常见的宫内节育器并发症：穿孔并迁移至回肠末端。一名56岁女性因下腹痛前来我院就诊。她29年前放置了宫内节育器。该宫内节育器是在不安全的情况下放置的，因为当时罗马尼亚禁止使用任何避孕器械或避孕药。宫内节育器是在不确定的情况下秘密放置的，此后再也没有进行过检查。剖腹探查证实宫内节育器已迁移至回肠末端。一名56岁女性因下腹痛前来我院就诊。她29年前放置了宫内节育器。该宫内节育器是在不安全的情况下放置的，因为当时罗马尼亚禁止使用任何避孕器械或避孕药。宫内节育器是在不确定的情况下秘密放置的，无法进行随访。剖腹探查证实存在已迁移至回肠末端的宫内节育器。该病例显示了宫内节育器在回肠中的异常位置，但特殊之处在于我们在其放置29年后才发现它，且患者没有特定的胃肠道症状。
