Almarhabi Yahya
Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Makkah, Saudi Arabia.
Center of Excellence in Trauma and Accidents, King Abdulaziz University, Jeddah, Makkah, Saudi Arabia.
J Surg Case Rep. 2020 Apr 3;2020(4):rjaa015. doi: 10.1093/jscr/rjaa015. eCollection 2020 Apr.
Implantation of an intrauterine device (IUD) is a common method for long-term contraception. However, IUDs can cause colon perforation and fistula formation. We report a case of cecal perforation and ileocecal fistula secondary to IUD migration. The present study investigated incidental identification of a missing IUD after 9 years of deployment in a 35-year-old female with a three-year history of infertility. Abdominal imaging revealed a missing IUD. Intracecal perforation and ileocecal fistula consequent of IUD migration were identified during surgical exploration. Limited ileocecal resection was performed as an appropriate and safe surgical option. IUD migration can present with serious complications. Patients considering IUDs should be educated about the importance of regular check-ups to monitor the position of the IUD. Thorough examination should be carried out if a missing IUD string is reported.
宫内节育器（IUD）植入是一种常用的长效避孕方法。然而，宫内节育器可导致结肠穿孔和瘘管形成。我们报告一例因宫内节育器移位继发盲肠穿孔和回盲部瘘管形成的病例。本研究调查了一名35岁、有三年不孕史的女性在使用宫内节育器9年后偶然发现节育器缺失的情况。腹部影像学检查显示宫内节育器缺失。手术探查时发现因宫内节育器移位导致的盲肠穿孔和回盲部瘘管。作为一种合适且安全的手术选择，进行了有限的回盲部切除术。宫内节育器移位可出现严重并发症。应告知考虑使用宫内节育器的患者定期检查以监测宫内节育器位置的重要性。如果报告宫内节育器尾丝缺失，应进行全面检查。
