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宫内节育器（IUD）迁移至输卵管：移位IUD的罕见位置且无脏器损伤。

Intrauterine device (IUD) migration to the fallopian tube: a rare location for a translocated IUD with no visceral injury.

作者信息

Wangwe Peter Joseph, Awadh Najma, Angelus Magreth

机构信息

Department of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Department of Obstetrics and Gynecology, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.

出版信息

Contracept Reprod Med. 2024 Jul 25;9(1):36. doi: 10.1186/s40834-024-00278-8.

DOI:10.1186/s40834-024-00278-8
PMID:39054493
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11270885/
Abstract

BACKGROUND

Loss of Intra Uterine Device (IUD) following silent perforation of the uterus either during or after IUD insertion is an uncommon finding due to a lack of immediate follow-up. We report a rare case in which uterine perforation following the migration of IUD to the right fallopian tube without visceral injury. The patient presented with lower abdominal pain and pain during sex for one year since IUD insertion. On examination, we noted tenderness on the right suprapubic region and on speculum examination, no IUD thread was seen. A radiological pelvic examination showed an empty uterus without an IUD. Laparotomy and retrieval of migrated IUD was done followed by repair of perforated uterus.

CONCLUSION

Migrated IUD with silent uterine perforation without visceral injury is a distressing clinical condition both to the patient and the clinician. This case is reported to increase awareness in doing immediate vaginal examination and pelvic ultrasound post-IUD insertion.

摘要

背景

宫内节育器（IUD）在插入过程中或插入后因子宫隐性穿孔而丢失，由于缺乏即时随访，这种情况并不常见。我们报告一例罕见病例，宫内节育器迁移至右侧输卵管后发生子宫穿孔，但无内脏损伤。该患者自放置宫内节育器后出现下腹部疼痛和性交痛一年。检查时，我们发现耻骨上区右侧有压痛，阴道窥器检查未见宫内节育器尾丝。盆腔放射学检查显示子宫内无宫内节育器。进行了剖腹手术并取出迁移的宫内节育器，随后修复穿孔的子宫。

结论

宫内节育器迁移伴子宫隐性穿孔且无内脏损伤，对患者和临床医生来说都是令人困扰的临床情况。报告此病例是为了提高对放置宫内节育器后立即进行阴道检查和盆腔超声检查的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/0a7e34ed282b/40834_2024_278_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/2ff33479b72f/40834_2024_278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/2a255eeefe81/40834_2024_278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/d50f0399e95d/40834_2024_278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c531305459a1/40834_2024_278_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/e546a9811b1a/40834_2024_278_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c3f973f3a293/40834_2024_278_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c6a6bb881ade/40834_2024_278_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/0a7e34ed282b/40834_2024_278_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/2ff33479b72f/40834_2024_278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/2a255eeefe81/40834_2024_278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/d50f0399e95d/40834_2024_278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c531305459a1/40834_2024_278_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/e546a9811b1a/40834_2024_278_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c3f973f3a293/40834_2024_278_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/c6a6bb881ade/40834_2024_278_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe6/11270885/0a7e34ed282b/40834_2024_278_Fig8_HTML.jpg

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本文引用的文献

1
Far migration of an intrauterine contraceptive device from the uterus to the small bowel.宫内节育器从子宫远移至小肠。
Clin Case Rep. 2022 Mar 13;10(3):e05589. doi: 10.1002/ccr3.5589. eCollection 2022 Mar.
2
Intraperitoneal migration of an intrauterine device (IUD): A case report.宫内节育器（IUD）的腹腔内移位：一例报告。
Ann Med Surg (Lond). 2021 Jul 8;68:102547. doi: 10.1016/j.amsu.2021.102547. eCollection 2021 Aug.
3
The role of multimodality radiological imaging in extrauterine misplaced IUCD: A case report.
多模态放射影像学在子宫外错位 IUCD 中的作用：一例报告。
Afr J Reprod Health. 2020 Dec;24(4):213-217. doi: 10.29063/ajrh2020/v24i4.21.
4
Dislocated intrauterine devices: clinical presentations, diagnosis and management.移位的宫内节育器：临床表现、诊断和处理。
Eur J Contracept Reprod Health Care. 2021 Apr;26(2):160-166. doi: 10.1080/13625187.2021.1874337. Epub 2021 Feb 8.
5
A one-year cohort study of complications, continuation, and failure rates of postpartum TCu380A in Tanzania.坦桑尼亚产后TCu380A并发症、持续使用情况及失败率的一年队列研究。
Reprod Health. 2020 Oct 6;17(1):150. doi: 10.1186/s12978-020-00999-4.
6
Clinical outcomes of postpartum intrauterine devices inserted by midwives in Tanzania.坦桑尼亚助产士放置产后宫内节育器的临床效果。
Int J Gynaecol Obstet. 2018 Sep;143 Suppl 1:38-42. doi: 10.1002/ijgo.12603.
7
IUD embedment in the fallopian tube: An unexpected location for a translocated IUD.宫内节育器嵌入输卵管：移位宫内节育器的意外位置。
Radiol Case Rep. 2018 Jun 7;13(4):788-792. doi: 10.1016/j.radcr.2018.04.030. eCollection 2018 Aug.
8
Relationship between copper IUD complications and ultrasonographic findings.铜宫内节育器并发症与超声检查结果之间的关系。
Arch Gynecol Obstet. 2018 Apr;297(4):989-996. doi: 10.1007/s00404-018-4711-y. Epub 2018 Feb 10.
9
Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs).宫内节育器（IUD）使用者子宫穿孔患者的临床特征及术中发现
Gynecol Surg. 2018;15(1):3. doi: 10.1186/s10397-017-1032-2. Epub 2018 Jan 16.