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Far-migrated Intra-abdominal Intrauterine Device with Abdominal Pain

机译:腹痛严重的腹腔内宫内节育器

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摘要

Intrauterine devices (ILJDs) remain one of the main methods of choice for birth control in the world, especially in developing countries. Even in the United States, after recovering from the adverse impact of the Dalkon Shield, ILJDs have reemerged on the market since the late 1980s [1]. Uterine perforation by an IUD is a rare but important complication of IUD use, and various reports have discussed this previously. A misplaced intrauterine device can migrate to various positions in the pelvic or intra-abdominal cavity, which may cause a range of different complications and morbidities. Expectedly, the longer the distance from the uterus, the less likely such a migration will occur. Here, we report a case involving a misplaced IUD that had migrated a long distance to the omentum surface of the left upper quadrant of the abdomen, resulting in abdominal pain. Furthermore, we reviewed the literature on IUD migration in order to address the issue.
机译:宫内节育器(ILJDs)仍然是世界上特别是在发展中国家中节育的主要选择方法之一。即使在美国,ILJD从Dalkon Shield的不利影响中恢复过来后,也自1980年代后期开始重新投放市场[1]。宫内节育器引起的子宫穿孔是宫内节育器使用的一种罕见但重要的并发症,以前有许多报道对此进行了讨论。放错位置的宫内节育器可能会迁移到盆腔或腹腔内的各个位置,这可能会导致一系列不同的并发症和发病率。预期到子宫的距离越长,发生这种迁移的可能性就越小。在这里,我们报告一例涉及放错位置的宫内节育器,该节育器已迁移很长距离到腹部左上象限的网膜表面,导致腹痛。此外,为了解决该问题,我们回顾了有关宫内节育器迁移的文献。

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