Hassine Hiba Ben, Chaouch Mohamed Ali, Jallali Maissa, Jabra Sadek Ben, Abdelalli Mabrouk, Korbi Ibtissem, Noomen Faouzi
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
Department of Radiology, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
Pan Afr Med J. 2024 Sep 11;49:13. doi: 10.11604/pamj.2024.49.13.44432. eCollection 2024.
The intrauterine device (IUD) is a widely utilized contraceptive method. In cases of uterine rupture, an IUD can migrate to the intra-abdominal or pelvic cavity, leading to various complications such as gastrointestinal perforation. The aim of this study was to report a case of a 29-year-old woman presented with acute left lumber pain. A computerized tomography scan revealed a left para tubal collection measuring 5x6cm, with the IUD located outside the uterine cavity and penetrating the rectum. Surgical intervention was performed, resulting in the complete retrieval of the device and closure of the perforation. The case report highlights the potential for serious complications associated with IUD use and the need for healthcare providers to be vigilant and to promptly recognize and manage them through a multidisciplinary approach.
宫内节育器(IUD)是一种广泛使用的避孕方法。在子宫破裂的情况下,宫内节育器可迁移至腹腔或盆腔,导致各种并发症,如胃肠道穿孔。本研究的目的是报告一例29岁女性出现急性左腰痛的病例。计算机断层扫描显示左侧输卵管旁有一个5×6厘米的积液,宫内节育器位于子宫腔外并穿透直肠。进行了手术干预,成功取出了节育器并封闭了穿孔。该病例报告强调了宫内节育器使用相关严重并发症的可能性,以及医疗保健提供者需要保持警惕,并通过多学科方法及时识别和处理这些并发症。