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内镜下取出穿孔进入膀胱的宫内节育器:一例病例报告及文献复习

Endoscopic Removal of Intrauterine Contraceptive Device Perforating Into the Bladder: A Case Report and Review of Literature.

作者信息

Wahba Amr H, Auer-Schmidt Maximilian Mattes, Schmidt Torsten

机构信息

Department of Obstetrics and Gynecology, Cairo University Hospital, Cairo, EGY.

Department of Gynecologic Endoscopy, PAN-Klinik, Cologne, DEU.

出版信息

Cureus. 2023 Mar 6;15(3):e35839. doi: 10.7759/cureus.35839. eCollection 2023 Mar.

Abstract

Intrauterine contraceptive device (IUCD) is a commonly used contraceptive method with the advantage of being a long-acting and reversible contraceptive method. However, its insertion can be rarely associated with serious complications such as uterine perforation, which can more rarely result in injury of the nearby viscus. In this report, we document a rare case of IUCD perforation of the uterus and bladder, its diagnosis using transvaginal ultrasonography and hysteroscopy, and management using a minimally invasive approach with a satisfactory patient outcome.

摘要

宫内节育器(IUCD)是一种常用的避孕方法,具有长效和可逆的避孕优势。然而,其放置有时会罕见地伴发严重并发症,如子宫穿孔,而子宫穿孔更罕见地会导致邻近脏器损伤。在本报告中,我们记录了一例罕见的子宫和膀胱被宫内节育器穿孔的病例,介绍了经阴道超声检查和宫腔镜检查对其的诊断,以及采用微创方法进行治疗并获得满意患者结局的情况。

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