与宫内节育器相关的自发性细菌性腹膜炎。

Spontaneous bacterial peritonitis associated with an intrauterine device.

作者信息

Brinson R R, Kolts B E, Monif G R

出版信息

J Clin Gastroenterol. 1986 Feb;8(1):82-4. doi: 10.1097/00004836-198602000-00019.

DOI:10.1097/00004836-198602000-00019

Abstract

Intrauterine contraceptive devices (IUD) have been associated with the induction of chronic anaerobic endometritis as well as superimposition of exogenous sexually transmitted diseases and unilateral tubo-ovarian abscesses. We report an unusual case of spontaneous bacterial peritonitis in a patient with ascites and an IUD. Bacteriological data support the concept that the source of infection was a chronic mixed endometritis induced by prolonged use of an IUD (16 years). In the presence of ascites, a localized endometritis with its reservoir of bacteria provided the medium for systemic disease.

摘要

宫内节育器（IUD）与慢性厌氧性子宫内膜炎的诱发、外源性性传播疾病的叠加以及单侧输卵管卵巢脓肿有关。我们报告了一例罕见的自发性细菌性腹膜炎病例，患者有腹水且放置了宫内节育器。细菌学数据支持这样一种观点，即感染源是长期使用宫内节育器（16年）引起的慢性混合性子宫内膜炎。在腹水存在的情况下，局部子宫内膜炎及其细菌储存库为全身性疾病提供了媒介。