宫内节育器异位膀胱形成结石1例

患者33岁。住院号920909。宫内放置节育器10年,近3个月出现下腹部疼痛,B超回报膀胱内有异物,于2001年2月1日入院。患者10年前于产后8个月哺乳期在我市某医院放置“V”型节育器,术中出现下腹部持续性疼痛,回家后感下腹部坠痛及腰痛,8h以后疼痛缓解。此后经常觉腰痛及下腹不适,但无尿频、尿急、尿痛、血尿史。患者自认为是放置节育器的副反应,故未及时就诊。置环后月经规律,量中等。无痛经,无妊娠史,近3个月感觉下腹疼痛加重而就诊。妇科检查:子宫后位,正常大,宫颈光滑,子宫前壁右侧宫底外有一直径0.5cm的粘连带与膀胱相连,压痛明显,双侧附件…     

宫内节育器异位膀胱形成结石一例

宫内节育器异位膀胱形成结石一例县菊英王秀华患者３３岁，因下腹痛６年，伴排尿时加重２个月，于１９９４年１０月２４日入院。既往月经正常，孕６产３。患者于６年前月经干净后第四天，在本乡卫生院放置Ｔ型宫内节育器（ＩＵＤ）。放器后当时即感下腹痛，排尿时加重，尿...     

宫内节育器异位11例分析

目的探讨IUD异位的原因及延误治疗而导致严重的并发症.方法对1982～1999年收治IUD异位11例进行回顾性分析.结果11例中3例于置环术中发现IUD异位并及时处理;另8例因延误诊治,其中7例造成临床上少见、罕见的严重并发症.结论11例中7例由于放置IUD术中粗暴操作造成子宫穿孔致IUD异位;4例由于误将IUD经尿道口置入膀胱造成IUD异位.结论应加强基层计划生育工作者的培训,提高医疗质量,避免粗暴操作,发现异常,及时处理.     

宫内节育器异位11例临床分析及预防

目的:探讨宫内节育器异位的原因及延误治疗而导致严重的并发症。方法:对2008年1月—2011年6月收治宫内节育器异位11例临床资料进行回顾性分析。结果:11例中2例于上节育器术后第二天发现节育器异位并及时处理;另9例节育环异位于腹腔,因延误诊治,对患者造成极大的痛苦及损伤。结论:11例由于术者缺乏经验,责任心不强,放置节育器术中操作粗暴造成子宫穿孔致节育器异位于腹腔。结论:应加强基层计划生育工作者的培训,提高医疗质量,避免粗暴操作,发现异常,及时处理。     

异常宫内节育器异位4例报道并文献复习

<正>1病例简介病例1,29岁,因"子宫内节育环异位并崁顿于直肠"于2012年5月30日就诊于我院。患者,G2P1,既往月经规律。2011年放环后1月患者出现月经量增加,经期延长,下腹坠胀不适。于当地医院就诊,发现宫内节育环异位至腹腔,建议手术治疗,患者拒绝。2012年4月28日患者因右输卵管异位妊娠于当地医院行右附件切除术,术中见节育环崁顿于直肠,遂就诊于我院。肛诊时触及半个节育环,节育环一半在直肠内,一半在阴道后穹隆内。盆腔B超:子宫内未见彗星尾征伴声影。请普外科会诊,距肛门口10cm处可触及节育环,先行肛门镜定位,挂双股7号丝线,自肛门牵出固定于右大腿内侧。嘱患者定期缓慢拉固定     

金属宫形宫内节育器异位膀胱二例

金属宫形宫内节育器异位膀胱二例石文仙例１患者３５岁，因放置宫内节育器（ＩＵＤ）３年余，伴下腹疼痛，于１９９４年４月１４日就诊。患者于１９９１年哺乳期在当地卫生院放置宫形不锈钢ＩＵＤ，术中出现下腹部持续性刺痛，回家后感下腹坠痛及腰痛，尿急、尿痛、血尿，...     

宫内节育器膀胱异位并膀胱结石1例报告

宫内节育器（IUD）是一种安全有效的避孕方法,在美国,超过750000育龄妇女选择IUD避孕;而中国育龄妇女更普遍采用IUD,占多种避孕措施的45%以上。正常情况下IUD位于宫腔内,其上端应在宫底部,当任何原因使IUD偏离宫腔中的位置即称为移位。IUD异位包括3类：①部分异位,IUD部分嵌入子宫肌层。     

宫内节育器膀胱异位并膀胱结石1例报告

宫内节育器(IUD)是一种安全有效的避孕方法,在美国,超过750 000育龄妇女选择IUD避孕;而中国育龄妇女更普遍采用IUD,占多种避孕措施的45％以上.正常情况下IUD位于宫腔内,其上端应在宫底部,当任何原因使IUD偏离宫腔中的位置即称为移位.IUD异位包括3类:①部分异位,IUD部分嵌入子宫肌层.②全部异位,IUD全部嵌入子宫肌层.③IUD在子宫外,处于盆腔和腹腔中.膀胱毗邻于子宫,故IUD可异位于膀胱,又分为部分性和完全膀胱异位.就南昌大学第二附属医院l例IUD异位膀胱并膀胱结石报告如下.     

宫内节育器异位于阑尾1例

患者27岁，孕2产1，以腹痛、恶心伴呕吐14h于2003年5月20日入院。平素月经不规律，末次月经2003年4月30日。发病后在外院行B超检查提示盆腔囊性肿物，拟诊右侧附件囊性肿物蒂扭转，转我院就诊。既往患慢性阑尾炎20年，2000年6月16日行剖宫产术分娩一男活婴同时行左侧卵巢囊肿核除术，一年半后在当地医院行人工流产术及宫内置环术(吉尼环)。2002年6月B超检查提示右侧卵巢囊肿，宫内无节育器。     

A case of tubal pregnancy caused by an intrauterine contraceptive device]

A young patient, a wearer of a copper IUD for about 18 months, was hospitalized for bleeding and severe pain. Several tests were performed and a diagnosis of tubal pregnancy made. The patient underwent surgery for rupture of the left oviduct. Presence of corpus luteum was found in the right ovary. It is possible that the presence of the copper IUD helped in the formation of substances similar to prostaglandins, which caused peristaltic contractions in the left oviduct.     

Acute abdomen caused by an intrauterine device

Case report about late complications caused by lying intrauterine devices (IUD). Ileus by strangulation represents a rare event when a closed IUD has perforated partially. A pelvic roentgenographic examination alone is not sufficient in order to give an estimation of the present position of the IUD. Results of hysterography and ultrasonographic examinations should be taken into account as well.     

Occult uterine perforation caused by an intrauterine device

This article reports on a patient who had an asymptomatic perforation of the uterus by an intrauterine contraceptive device. Six and eight years later, the woman had normal pregnancies and deliveries. Ten years later an exploratory laparotomy was performed because of abdominal pain of unknown origin. The intrauterine device was surgically removed from Douglas' pouch. We summarize and discuss the complications due to a perforation of the uterus by an intrauterine contraceptive device and appropriate diagnostic procedures.     

A misplaced intrauterine device: a case report

A 26-year-old woman consulted our Family Planning Unit because she could not locate the thread of her intrauterine device (IUD), which was placed 16 months earlier. Attempts to remove the IUD under fluoroscopy failed. A hysterography showed the IUD to be in the pelvis away from the uterus. At laparotomy, the IUD was found hidden in the omentum and its removal was done by resection of a piece of the omentum. The patient became pregnant three months later and gave birth to a healthy baby at term.     

Pyosalpinx caused by the tubal migration of an intrauterine device--a case report

Migration of an intrauterine device (IUD) is a complication occurring at or following insertion. After having perforated the uterine wall, the IUD usually will settle into the peritoneal cavity. Tubal migration of an IUD is extremely rare and little is known about its mechanism. We describe a case of pyosalpinx caused by the tubal migration of a copper IUD. The tail of the device was embedded in the mesocolon.     

Persistent subumbilical discharge associated with actinomycosis caused by intrauterine contraceptive device: a case report

Intrauterine devices are a very effective form of contraception used worldwide for more than 2 centuries. One of the serious, but rare, complications of intrauterine contraception is perforation through the uterine wall into the pelvic or abdominal cavity. In this report we describe, persistent periumbilical discharge associated actinomycosis caused by migration of a copper intrauterine contraceptive device. To our knowledge, this is the first report of persistent periumbilical discharge caused by migration of a copper intrauterine contraceptive device. We recommend consideration of this minor possibility during evaluation of women with chronic abdominal discharge.     

A rare case of ileal embedding by an intrauterine device.

Ileal penetration by a copper-bearing intrauterine device (IUD) is a rare but serious potential complication. This paper reports the case of a 30-year-old gravida 4 para 3 woman with ileal embedding by an IUD. Laparoscopy was performed on the patient 4 months after the insertion of the IUD. When the tail of the IUD was seen during laparoscopy protruding outside the small bowel, the device was removed through a 1-cm incision in the ileum by laparotomy. This report demonstrates a rare case of ileal embedding of an IUD.     

Uterine perforation and vesical migration of an intrauterine device. Case observation

A case of uterine perforation, caused by a TCu 200 IUD which emigrated to the urinary bladder, is reported. It was extracted by transuretral endoscopy after term pregnancy and delivery. Such accidents are rare, but according to the literature are more frequent with some devices like the Birnberg Bow than with others such as Lippes Loops. Certain factors contributing to the possibility of perforation are inept insertion or positioning, fragility of the uterine wall due to recent birth or abortion, or pregnancy. Symptoms may be nonexistent. Conversely, it can cause severe pain or problems like intestinal obstruction or uterine lesion.     

Uterine perforation by the levonorgestrel-releasing intrauterine device: case report

The authors demonstrate a case report of the uterine perforation by the levonorgestrel-releasing intrauterine device (LNG-IUD) in a 33-year-old asymptomatic woman after an 18-month period after insertion. The device was not localized in utero during routine control with transvaginal sonography. After abdominal radiography examination the device was removed by laparoscopy. The possibilities of transuterine migration of IUD are discussed.     

Coexisting ectopic and intrauterine pregnancies: a case report

BACKGROUND: The simulated presence of intrauterine and extrauterine pregnancies is a rare condition. Diagnosis is difficult, accomplished on grounds of strong suspicion (as in assisted reproductive treatment cases), on the presence of predisposing factors (pathology of salpinx) or as a coincidental finding in the emergency room when a patient presents after an elective or spontaneous abortion. An intrauterine pregnancy may be discovered in a patient who presents with ectopic pregnancy. CASE: A 40-year-old multigravida was diagnosed with coexisting extrauterine and intrauterine pregnancies when she presented with a right ectopic pregnancy in the emergency room. The patient underwent partial right salpingectomy and an elective abortion. CONCLUSION: Patients who present with acute pelvic pain must be investigated for coexisting ectopic pregnancy even though they have a proven intrauterine pregnancy. Such an investigation is even more important if the patient is undergoing assisted reproductive treatment. In patients who have had spontaneous or elective abortion, especially in cases of a gestation <4 weeks, the differential diagnosis should include coexisting ectopic pregnancy. Failure to diagnose this condition can have serious consequences.