这是“结肠穿孔”吗？一例病例报告及文献综述。
Is It a "Colon Perforation"? A Case Report and Review of the Literature.
作者信息
Lu Shuangshuang, Yao Xinyu, Shi Jun, Huang Jian, Zhuang Shaohua, Ma Junfang, Liu Yan, Zhang Wei, Yu Lifei, Zhu Ping, Zhu Qiuwei, Shi Ruxia, Zheng Hong, Shao Dong, Pan Yuyan, Bao Shizhen, Qin Li, Huang Lijie, Liu Wenjia, Huang Jin
机构信息
The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China.
School of Medicine, Dalian Medical University, Dalian, China.
出版信息
Front Med (Lausanne). 2022 Mar 10;9:817029. doi: 10.3389/fmed.2022.817029. eCollection 2022.
BACKGROUND
Intrauterine devices (IUDs) are commonly used as a contraceptive method. IUD migration and colon perforation are rare but serious complications occurring sometimes years after insertion.
CASE
A 42-year-old woman with complaints of slight abdominal pain underwent a colonoscopy. Colonoscopy showed that a "nail" had penetrated the ascending colon wall and that an arm of the "nail" was embedded in the colon wall. We did not remove the "nail" rashly under colonoscopy. Considering the safety and effectiveness of the patient's operation, we were able to remove the "nail" easily by performing laparoscopic-endoscopic cooperative surgery (LECS) combined with hysteroscopy at the same time.
CONCLUSION
We report a case of successful removal of a colonic perforation device by colonoscopy, laparoscopy, and hysteroscopy, which is the first method used.
背景
宫内节育器（IUD）是常用的避孕方法。IUD迁移和结肠穿孔虽罕见但为严重并发症，有时在放置数年之后发生。
病例
一名主诉轻微腹痛的42岁女性接受了结肠镜检查。结肠镜检查显示一个“钉子”穿透了升结肠壁，且“钉子”的一个臂嵌入结肠壁。我们未在结肠镜检查下贸然取出“钉子”。考虑到患者手术的安全性和有效性，我们通过同时进行腹腔镜-内镜联合手术（LECS）及宫腔镜检查轻松取出了“钉子”。
结论
我们报告了首例通过结肠镜检查、腹腔镜检查和宫腔镜检查成功取出结肠穿孔装置的病例。
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