頁籤選單縮合
題名 | Translocated Intrauterine Contraceptive Device to the Rectum and Retrieval by Colonofibroscopy: A Case Report=銅T子宮內避孕器移位引起直腸穿孔及大腸鏡取出:病例報告 |
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作者姓名(中文) | 吳道光; | 書刊名 | Medical Journal of South Taiwan |
卷期 | 4:3 2008.12[民97.12] |
頁次 | 頁155-157 |
分類號 | 417.129 |
關鍵詞 | 子宮避孕器; 子宮壁穿孔; 子宮內避孕器移位; Intrauterine device; IUD; Complete uterine perforation; Bowel perforation; |
語文 | 英文(English) |
中文摘要 | 自從三十多年前子宮避孕器問世以來,在全世界包括台灣,子宮內避孕器是一種常見的避孕方式,子宮內避孕器引起很多合併症,其中之一是子宮壁穿孔,大部分穿孔後,子宮內避孕器都留在腹腔內,但是子宮內避孕器引起直腸穿孔的病例,就極為罕見。本文報告一位二十六歲女性因子宮內避孕器移位引起穿破直腸,並且在排便後,可觸摸到子宮內避孕器的線頭,之後經安排入院給預防性抗生素及大腸灌洗後,由大腸鏡成功取避孕器,三天後出院且未發生任何合併症。 |
英文摘要 | Bowel perforation by an intrauterine device is a rare complication. We report a case of missing intrauterine contraceptive device with bowel perforation presenting with strings at her anus after defecation. A 26-year-old housewife with gravida 3, para 2, artificial abortion 1, underwent two Nova-T IUDs insertion, the first one was inserted four years ago after she gave birth of the first child. She conceived and underwent artificial abortion, the missing IUD was not found, no further investigation was done. Two years ago, the second IUD was inserted after delivery of second child. Recently, she noticed the IUD threads appearing at her anus after defecation, pulling the strings did not succeed in retrieving the device. Gynecology sonography showed IUD in situ. During rectal examination, the strings was palpable but the IUD could not be palpated. On flexible colonoscopic examination, the IUD was readily visible with one transverse arm embedded under the mucosa of the rectum. IUD was retrieved successfully by the colonofribroscope and prophylactic antibiotics were prescribed. The subsequent course was uneventful. Surgical removal of perforated bowel by intrauterine device is not always mandatory, flexible colonofriboscopy can be a simple and useful tool for retrieval of wandering intrauterine device in selected cases. |
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