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病例报告:因膀胱内长期未被识别的宫内节育器位置异常并伴有直肠膀胱瘘导致的医源性膀胱创伤。

Case Report: Iatrogenic trauma of the bladder due to long-term unidentified intrauterine device malposition inside the bladder with rectovesical fistula.

作者信息

Agil Ahmad, Tjahjodjati Tjahjodjati, Atik Nur, Rachmadi Dedi, Zahrina Tengku Tania

机构信息

Department of Urology, Universitas Padjadjaran, Bandung, West Java, 40132, Indonesia.

Department of Biomedical Science, Universitas Padjadjaran, Bandung, West Java, Indonesia.

出版信息

F1000Res. 2024 Jan 5;12:1390. doi: 10.12688/f1000research.136351.2. eCollection 2023.

Abstract

According to reports, there are 1.9-3.6 incidences of IUD migration and uterine perforation for every 1000 IUD insertions. It is important to note that bladder perforation caused by a misplaced IUD is uncommon and is thought to happen most frequently during insertion. Here, we describe a patient who presented with symptoms related to the malposition of IUD inside the bladder. It is feasible to draw the conclusion that the cystoscopy technique should be taken into consideration as a suitable therapy option for such injuries in this organ. When a problem cannot be effectively treated by cystoscopy alone, laparotomy should be considered.

摘要

据报道,每1000例宫内节育器(IUD)置入术中,IUD移位和子宫穿孔的发生率为1.9 - 3.6例。需要注意的是,IUD位置不当导致的膀胱穿孔并不常见,且被认为最常发生在置入过程中。在此,我们描述了一名出现与膀胱内IUD位置异常相关症状的患者。可以得出结论,膀胱镜检查技术应被视为该器官此类损伤的一种合适治疗选择。当仅通过膀胱镜检查无法有效治疗问题时,应考虑剖腹手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d05/10905111/32fb1d19f1b8/f1000research-12-160269-g0000.jpg

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