Perforation of the Rectum by a Copper-T Intrauterine Contraceptive Device: A Case Report and Review of the Literature

銅T子宮內避孕器引起直腸穿孔：病例報告及文獻回顧

許博仁(Boe-Jen Hsu) ； 林志亮(Ju-Lian Lin) ； 顏郁晉(Yu-Chin Yen)

《中華民國急救加護醫學會雜誌》 16卷2期 (2005/06) Pp. 75-81

https://doi.org/10.30018/JECCM.200506.0005

摘要

自從子宮內避孕器裝置被用於婦女避孕用途之後，引起子宮壁穿孔的病例並非太少。但是子宮內避孕器引致直腸穿孔的病例就極為罕見。本文報告一位33歲婦女使用銅T子宮內避孕器，引起移位並穿破直腸壁；雖然她3年前裝置避孕器時並無痛苦不適。雖然吾人嘗試以大腸鏡取出此異物，但並未能成功；因此病人最後需接受開腹手術才成功取出避孕器銅T，術後結果良好。

關鍵字

子宮內避孕器 ； 直腸穿孔 ； 銅T直腸乙狀結腸鏡

並列摘要

Perforation of the uterus by an intrauterine contraceptive device (IUCD) is not a rare complication with this means of birth control. However, perforation of the colorectum by an IUCD is extremely unusual. Herein we report a case of a 33-year-old female in whom a Copper-T IUCD migrated and subsequently perforated the rectum after she had received painless insertion of the device 3 years previous. Colonoscopic retrieval was tried but failed; thus. a laparotomy was necessary to remove the IUCD. The outcome was satisfactory.

並列關鍵字

intrauterine contraceptive device IUCD ； rectal perforation ； Copper-T ； proctosigmoidoscopy