Radiology Directorate - Komfo Anokye Teaching Hospital.
Radiology Department - Kwame Nkrumah University of Science and Technology, School of Medicine and Dentistry.
Afr J Reprod Health. 2020 Dec;24(4):213-217. doi: 10.29063/ajrh2020/v24i4.21.
Intrauterine contraceptive device (IUCD) is among the commonly used contraceptive methods in the world including sub-Saharan Africa but have been associated with a number of complications that although rare, can occur. Uterine perforation is the most serious complication of the IUCD. Surgical management is required in cases with complete uterine perforation, in which the IUCD is partially or completely within the peritoneal cavity. We present a case of a 27year old para 2 woman reporting with mild lower abdominal pains and the absence of IUCD string in the vagina after its insertion following evacuation of the uterus 2 years prior to this study. With the utilization of multiple imaging modalities, an exploratory laparotomy was done to remove the migrated IUCD and repair of the perforated bowel and urinary bladder.
宫内节育器（IUCD）是世界上常用的避孕方法之一，包括撒哈拉以南非洲地区，但它也与许多并发症有关，尽管这些并发症很少见，但也可能发生。子宫穿孔是 IUCD 最严重的并发症。对于完全子宫穿孔的病例，需要进行手术治疗，此时 IUCD 部分或完全位于腹腔内。我们报告了 1 例 27 岁的经产妇，她在 2 年前进行了子宫排空后插入 IUCD，之后出现轻度下腹痛和 IUCD 线在阴道内缺失。通过多种影像学手段的利用，进行了剖腹探查术以取出移位的 IUCD，并修复穿孔的肠和膀胱。
