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宫内节育器的腹腔内移位:一例报告

Intraperitoneal migration of an intrauterine device: a case report.

作者信息

Al-Darwish Abdullah S, Saffaf Mohannad K, Bawareth Rime, AlHawassi Sami

机构信息

Department of Surgery, Arryan Hospital, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.

Department of Obstetrics and Gynecology, International Medical Center, Jeddah, Saudi Arabia.

出版信息

J Surg Case Rep. 2025 Jul 28;2025(7):rjaf579. doi: 10.1093/jscr/rjaf579. eCollection 2025 Jul.

Abstract

Intrauterine devices (IUDs) are a common and effective method of long-term contraception. However, rare complications such as uterine perforation and subsequent migration of the IUD to adjacent organs can occur. This case report describes a 29-year-old woman who presented with persistent abdominal pain and urinary symptoms secondary to IUD migration into the abdominal cavity, complicated by abscess formation. The case highlights the importance of considering IUD migration in patients with a history of IUD placement who present with abdominal or urinary complaints. It also underscores the need for routine post-insertion checks and thorough patient education to minimize risks.

摘要

宫内节育器(IUD)是一种常用且有效的长期避孕方法。然而,可能会发生诸如子宫穿孔以及随后IUD迁移至邻近器官等罕见并发症。本病例报告描述了一名29岁女性,她因IUD迁移至腹腔并伴有脓肿形成而出现持续性腹痛和泌尿系统症状。该病例强调了对于有IUD放置史且出现腹部或泌尿系统不适的患者,考虑IUD迁移的重要性。它还强调了进行常规放置后检查以及对患者进行全面教育以将风险降至最低的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d027/12302713/e76a9aea9d32/rjaf579f1.jpg

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