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宫内节育器移位的严重并发症：直肠穿孔和网膜定位的病例报告

Severe complications of intrauterine device migration: Case reports of rectal perforation and omental localization.

作者信息

Benchaou Hanae, Boukroute Marouane, Aouragh Ayoub, Aloua Youssef El, Regragui Abdelmajide, Bellajdel Ibtissam, Chetbi Zaineb, Taheri Hafsa, Saadi Hanane, Mimouni Ahmed

机构信息

Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco.

Faculty of Medicine and Pharmacy, Mohammed First University Oujda, oriental state, Morocco.

出版信息

Radiol Case Rep. 2024 Aug 5;19(10):4544-4548. doi: 10.1016/j.radcr.2024.07.073. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.07.073
PMID:39206337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11357828/
Abstract

Migration of intrauterine devices (IUD) is uncommon; however, it can lead to increasingly severe complications, ranging from simple pelvic pain to potentially lethal septic shock. Therefore, diagnostic and therapeutic approaches combining endoscopic paraclinical examinations with surgical intervention need further investigation by clinicians to ensure better management. This study presents 2 rare cases where a migrating intrauterine device at the rectal level was removed via hysteroscopic approach and a second one was removed via laparoscopy.

摘要

宫内节育器（IUD）移位并不常见；然而，它可能导致越来越严重的并发症，从单纯的盆腔疼痛到可能致命的感染性休克。因此，结合内镜辅助检查与手术干预的诊断和治疗方法需要临床医生进一步研究，以确保更好的治疗效果。本研究报告了2例罕见病例，其中1例直肠水平移位的宫内节育器通过宫腔镜手术取出，另1例通过腹腔镜手术取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/013c66ff0968/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/0b2cfed35518/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/7857306ff899/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/181342c240e3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/013c66ff0968/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/0b2cfed35518/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/7857306ff899/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/181342c240e3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e870/11357828/013c66ff0968/gr4.jpg

相似文献

1
Severe complications of intrauterine device migration: Case reports of rectal perforation and omental localization.宫内节育器移位的严重并发症：直肠穿孔和网膜定位的病例报告
Radiol Case Rep. 2024 Aug 5;19(10):4544-4548. doi: 10.1016/j.radcr.2024.07.073. eCollection 2024 Oct.
2
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Migration of an intrauterine contraceptive device to the sigmoid colon: a case report.宫内节育器迁移至乙状结肠：一例报告
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本文引用的文献

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Removal of intra-abdominal mislocated intrauterine devices by laparoscopy.腹腔镜下取出腹腔内异位的宫内节育器。
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[Iliac vein stenosis caused by intrauterine device migration].宫内节育器移位导致的髂静脉狭窄
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