PDF(Pubmed)
Abstract：
Long-acting intrauterine contraceptives such as intrauterine devices (IUD) are popular due to their high rates of long-term efficacy, ease of use, and reversibility. Though rare, these devices can incur complications such as uterine perforation. Signs and symptoms are often vague abdominal and pelvic pain, and patients rarely present with a surgical emergency. This uterine perforation can happen immediately upon IUD placement or in a delayed manner. This case details an example of an IUD uterine perforation with abdominal migration two years after placement. The patient\'s history is complicated by the unique fact that she became pregnant and carried her pregnancy to a term vaginal delivery after the IUD had been placed. Her pregnancy led healthcare providers from previous encounters to believe that the IUD had been spontaneously expelled. The IUD was identified in the patient\'s left lower abdominal cavity via computed tomography (CT) and was surgically removed uneventfully.
摘要：
诸如宫内节育器（IUD）之类的长效宫内避孕药由于其长期疗效高，因此很受欢迎。易用性,和可逆性。虽然罕见，这些装置会引起子宫穿孔等并发症。体征和症状通常是模糊的腹部和骨盆疼痛，患者很少出现手术紧急情况。子宫穿孔可在放置宫内节育器时立即发生或以延迟的方式发生。此病例详细说明了放置后两年IUD子宫穿孔伴腹部迁移的例子。患者的病史因以下独特事实而变得复杂：在放置宫内节育器后，她怀孕并进行足月阴道分娩。她的怀孕使医疗保健提供者从以前的遭遇中相信宫内节育器已被自发驱逐。通过计算机断层扫描（CT）在患者的左下腹腔中发现了IUD，并通过手术顺利取出。
