Han Jeong Hee, Yu Eun Hee, Joo Jong Kil, Kim Min Ju, Choi Jung Bum, Jung Hyuk Jae, Jo Hong Jae, Lee Byoung Chul
Department of Surgery, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea.
Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Pusan National University Hospital Biomedical Research Institute, Busan 46241, Republic of Korea.
J Surg Case Rep. 2024 Aug 30;2024(8):rjae522. doi: 10.1093/jscr/rjae522. eCollection 2024 Aug.
Bowel perforation secondary to a levonorgestrel-releasing intrauterine device is exceptionally rare. We present the case of a woman who exhibited abnormal findings during a colonoscopy examination. Despite undergoing an intrauterine device (IUD) insertion procedure for contraception in 2000, attempts for its removal in 2007 were unsuccessful due to the inability to locate the IUD. In 2022, she presented with intermittent hematochezia and lower left abdominal pain. Subsequent colonoscopy and abdominal computed tomography confirmed the presence of the IUD penetrating the uterine wall and entering the colon. Laparoscopic anterior resection was performed, and the patient's postoperative recovery was uneventful, indicating the viability of laparoscopic treatment as a valuable option.
左炔诺孕酮宫内节育器继发肠穿孔极为罕见。我们报告一例在结肠镜检查中出现异常发现的女性病例。尽管该女性在2000年因避孕目的放置了宫内节育器，但2007年因无法找到该节育器而未能成功取出。2022年，她出现间歇性便血和左下腹疼痛。随后的结肠镜检查和腹部计算机断层扫描证实宫内节育器穿透子宫壁并进入结肠。遂行腹腔镜前切除术，患者术后恢复顺利，表明腹腔镜治疗是一种可行的有价值选择。
