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右上象限的左炔诺孕酮宫内节育器:一例报告。

A Levonorgestrel-Releasing Intrauterine Device in the Right Upper Quadrant: A Case Report.

作者信息

Cohen Joshua M, Fegale Stephanie L, Phan Tammy, Samones Emmelyn, Savino Paul

机构信息

Emergency Medicine, Loma Linda University Medical Center, Loma Linda, USA.

Obstetrics and Gynecology, Loma Linda University Medical Center, Loma Linda, USA.

出版信息

Cureus. 2025 Jul 15;17(7):e87997. doi: 10.7759/cureus.87997. eCollection 2025 Jul.

Abstract

Abdominal pain is a common emergency department (ED) presentation. Studies suggest that female patients represent a majority of ED patients with abdominal pain. Abdominal pain requires a broad set of differential diagnoses, including gynecologic and obstetric causes. We describe the case of a patient who presented to the ED for right lower quadrant discomfort after the post-partum placement of a levonorgestrel-releasing intrauterine device (IUD). ED imaging revealed an IUD in the right upper quadrant. On laparoscopy, an intra-omental IUD was found near the hepatic flexure.

摘要

腹痛是急诊科常见的就诊症状。研究表明,女性患者占急诊科腹痛患者的大多数。腹痛需要进行广泛的鉴别诊断,包括妇科和产科原因。我们描述了一例患者,其在产后放置左炔诺孕酮宫内节育器(IUD)后因右下腹不适到急诊科就诊。急诊科的影像学检查显示宫内节育器位于右上腹。腹腔镜检查发现肝曲附近网膜内有一枚宫内节育器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c02/12354927/35c3955e3007/cureus-0017-00000087997-i01.jpg

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