Li Xueyan, Li Hongran, Li Chunmei, Luo Xiaohua, Song Yan, Li Shanshan, Luo Suiyu, Wang Yu
Department of Obstetrics and Gynecology, People's Hospital of Zhengzhou University.
Department of Obstetrics and gynecology, Henan Provincial People's Hospital.
Medicine (Baltimore). 2019 Jan;98(3):e13872. doi: 10.1097/MD.0000000000013872.
Intrauterine device (IUD) is commonly used in China. Its complications include uterine perforation, IUD ectopic migration, etc. However, a migrated IUD rarely leads to renal failure.
IUD insertion in the patient was followed by unexplained pain in the left renal area, without bladder irritation or dysuresia.
Hydronephrosis, renal failure, migrated IUD.
The patient underwent laparoscopic and retroperitoneoscopic left nephrectomy, partial ureterectomy, and migrated IUD extraction.
No complications were found after 1 year of follow-up.
An IUD should be placed by an experienced doctor. If conditions permit, it is best to perform the procedure under the guidance of ultrasound. The patients should be advised to undergo regular check-ups after the procedure. If necessary, abdominal color Doppler examination should be performed. Importantly, patients with IUD pregnancy must be reviewed.
宫内节育器（IUD）在中国广泛使用。其并发症包括子宫穿孔、IUD异位迁移等。然而，迁移的IUD很少导致肾衰竭。
患者放置IUD后出现左肾区不明原因疼痛，无膀胱刺激症状或排尿困难。
肾积水、肾衰竭、迁移的IUD。
患者接受了腹腔镜和后腹腔镜下左肾切除术、部分输尿管切除术及取出迁移的IUD。
随访1年后未发现并发症。
应由经验丰富的医生放置IUD。如果条件允许，最好在超声引导下进行该操作。应建议患者术后定期检查。如有必要，应进行腹部彩色多普勒检查。重要的是，IUD妊娠的患者必须复查。
