PDF(Pubmed)
Abstract：
BACKGROUND: The intrauterine device is one of the effective, safe, convenient, economical, and reversible contraceptive methods. Although its contraceptive effect is definite, some female patients may experience complications such as expulsion, bleeding, and pregnancy with the device in place. Rectal perforation is one of the rare and serious complications, which can lead to complications such as abdominal infection and intestinal adhesions, severely affecting the quality of life of patients.
METHODS: A 34-year-old female was sent to the Department of Gastroenterology with noticeable left lower quadrant abdominal pain. She had presented with abdominal discomfort and anal tenesmus 1 year earlier. Two months ago, her abdominal pain had gradually worsened and she was presented to our hospital.
METHODS: Investigations, including colonoscopy and computed tomography scan, had revealed an intrauterine device migrated and perforated into the rectum.
RESULTS: The patient underwent successful colonoscopic removal of the intrauterine device. She recovered well after the treatment.
CONCLUSIONS: This case proves that endoscopic therapy can be considered the preferred method for removing intrauterine devices displaced into the digestive tract lumen.
METHODS: A 34-year-old female was sent to the Department of Gastroenterology with noticeable left lower quadrant abdominal pain. She had presented with abdominal discomfort and anal tenesmus 1 year earlier. Two months ago, her abdominal pain had gradually worsened and she was presented to our hospital.
METHODS: Investigations, including colonoscopy and computed tomography scan, had revealed an intrauterine device migrated and perforated into the rectum.
RESULTS: The patient underwent successful colonoscopic removal of the intrauterine device. She recovered well after the treatment.
CONCLUSIONS: This case proves that endoscopic therapy can be considered the preferred method for removing intrauterine devices displaced into the digestive tract lumen.
摘要：
背景：宫内节育器是有效的，安全,方便,经济,和可逆的避孕方法。虽然它的避孕效果是肯定的，一些女性患者可能会出现并发症，如驱逐，出血,在设备到位的情况下怀孕。直肠穿孔是一种罕见且严重的并发症，这可能导致并发症，如腹部感染和肠粘连，严重影响患者的生活质量。
方法：一名34岁女性因明显的左下腹疼痛被送往消化内科。1年前，她出现了腹部不适和肛门里急后重。两个月前,她的腹痛逐渐加重，并被送往我们医院。
方法：调查，包括结肠镜检查和计算机断层扫描,发现宫内节育器迁移并穿孔进入直肠。
结果：患者在结肠镜下成功取出宫内节育器。治疗后她恢复得很好。
结论：该病例证明内镜治疗可被认为是移除移位到消化道腔内的宫内节育器的首选方法。
方法：一名34岁女性因明显的左下腹疼痛被送往消化内科。1年前，她出现了腹部不适和肛门里急后重。两个月前,她的腹痛逐渐加重，并被送往我们医院。
方法：调查，包括结肠镜检查和计算机断层扫描,发现宫内节育器迁移并穿孔进入直肠。
结果：患者在结肠镜下成功取出宫内节育器。治疗后她恢复得很好。
结论：该病例证明内镜治疗可被认为是移除移位到消化道腔内的宫内节育器的首选方法。
