Chen C P, Hsu T C, Wang W
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Republic of China, Taiwan.
Contraception. 1998 Nov;58(5):295-304. doi: 10.1016/s0010-7824(98)00116-4.
A case of a 28-year-old gravida 3 para 2 woman with an ileal penetration by an intrauterine device (IUD) is reported. Four weeks following insertion of a Multiload-Cu 375, the woman underwent laparotomy due to persistent vague abdominal pain and translocation of the IUD. The device had perforated the fundal uterine wall and the two flexible side arms and the copper-bearing rod had completely eroded into the wall of the ileum with only the strings protruding outside the small bowel mesentery. Resection of an ileal segment with end-to-end anastomosis was performed. The woman made an uneventful recovery. It appears that a translocated Multiload-Cu 375 IUD body can penetrate and be entirely embedded within the bowel wall as early as 4 weeks following translocation. This report documents the shortest interval between insertion and proven bowel injury by an IUD.
报告了一例28岁、孕3产2的妇女，其宫内节育器（IUD）穿透回肠。在置入Multiload-Cu 375型IUD四周后，该妇女因持续的腹部隐痛和IUD移位而接受剖腹手术。该装置已穿透子宫底壁，两个柔性侧臂和含铜杆已完全侵蚀入回肠壁，只有尾丝从小肠系膜外突出。进行了回肠段切除并端端吻合。该妇女恢复顺利。看来移位的Multiload-Cu 375型IUD本体最早可在移位后4周穿透并完全嵌入肠壁。本报告记录了IUD置入与经证实的肠损伤之间最短的时间间隔。
