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过期铜宫内节育器断裂：一种罕见并发症

Fragmentation of an In-Date Copper Intrauterine Device: An Unusual Complication.

作者信息

Mamah Johnbosco, Dube Thokozani, Aramabi Ejiro, Unwaha Emmanuel, Dagba Max

机构信息

Obstetrics and Gynaecology, East Suffolk and North Essex NHS Foundation Trust, Colchester, GBR.

出版信息

Cureus. 2024 Nov 9;16(11):e73344. doi: 10.7759/cureus.73344. eCollection 2024 Nov.

DOI:10.7759/cureus.73344
PMID:39659323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11628203/
Abstract

We present a rare case involving a 25-year-old woman who had fragmentation of a copper intrauterine contraceptive device (IUD) while still within its recommended lifespan. The patient's symptoms included lower abdominal pain, offensive vaginal discharge, and the passage of copper IUD fragments. The pelvic examination confirmed the presence of the copper IUD strings, and with her consent, the device was removed. Upon inspection, it was discovered that one horizontal arm of the copper IUD had no copper coils, and the second horizontal arm was missing half of its copper coil. The device was sent for microbial culture. The patient's symptoms promptly resolved with conservative management. This case raises awareness about the potential for copper IUD disintegration, even when the device is in-date. Sexual and reproductive health providers should consider this complication when discussing the pros and cons of a copper IUD with intended users.

摘要

我们报告了一例罕见病例，患者为一名25岁女性，其铜宫内节育器（IUD）在仍处于推荐使用期限内时发生了断裂。患者的症状包括下腹部疼痛、有异味的阴道分泌物以及排出铜IUD碎片。盆腔检查确认存在铜IUD尾丝，在患者同意后，取出了该装置。经检查发现，铜IUD的一个水平臂没有铜线圈，第二个水平臂缺失了一半的铜线圈。该装置被送去进行微生物培养。通过保守治疗，患者的症状迅速得到缓解。该病例提高了人们对铜IUD即使在有效期内也可能发生崩解的认识。性健康和生殖健康服务提供者在与有意使用者讨论铜IUD的利弊时应考虑到这种并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311c/11628203/5807ae1774a0/cureus-0016-00000073344-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311c/11628203/09dda4ec3bf1/cureus-0016-00000073344-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311c/11628203/5807ae1774a0/cureus-0016-00000073344-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311c/11628203/09dda4ec3bf1/cureus-0016-00000073344-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311c/11628203/5807ae1774a0/cureus-0016-00000073344-i02.jpg

相似文献

1
Fragmentation of an In-Date Copper Intrauterine Device: An Unusual Complication.过期铜宫内节育器断裂：一种罕见并发症
Cureus. 2024 Nov 9;16(11):e73344. doi: 10.7759/cureus.73344. eCollection 2024 Nov.
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Chlamydial serologic characteristics among intrauterine contraceptive device users: does copper inhibit chlamydial infection in the female genital tract?宫内节育器使用者的衣原体血清学特征：铜是否能抑制女性生殖道中的衣原体感染？
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Ovarian pregnancy in association with an intrauterine device.宫内节育器相关的卵巢妊娠。
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Fractured copper intrauterine device (IUD) retained in the uterine wall leading to hysterectomy: A case report.子宫壁内残留的断裂铜宫内节育器（IUD）导致子宫切除：一例病例报告。
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本文引用的文献

1
A premenopausal woman with fragmentation of a nonexpired copper intrauterine device and concomitant presence of species.一名绝经前妇女，其未过期的含铜宫内节育器发生断裂，且同时存在[具体物种未明确]。
Proc (Bayl Univ Med Cent). 2024 Jun 13;37(6):976-978. doi: 10.1080/08998280.2024.2365074. eCollection 2024.
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FSRH Guideline (March 2023) Intrauterine contraception.英国性健康与生殖健康学会指南（2023年3月）宫内节育器
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Contraception. 2013 Nov;88(5):599-603. doi: 10.1016/j.contraception.2013.07.007. Epub 2013 Jul 31.
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In vitro Actinomyces israelii biofilm development on IUD copper surfaces.在宫内节育器铜表面上体外以色列放线菌生物膜的发育。
Contraception. 2010 Mar;81(3):261-4. doi: 10.1016/j.contraception.2009.09.008. Epub 2009 Oct 29.
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IUDs and colonization or infection with Actinomyces.宫内节育器与放线菌定植或感染
Contraception. 2007 Jun;75(6 Suppl):S48-50. doi: 10.1016/j.contraception.2007.01.006. Epub 2007 Mar 23.
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Intrauterine fragmentation of Gyne T380: an uncommon complication.吉妮柔适型宫内节育器（Gyne T380）的宫内断裂：一种罕见的并发症。
J Fam Plann Reprod Health Care. 2004 Jul;30(3):175-6. doi: 10.1783/1471189041261410.