About 1 case report of ectopic IUD Pelvic.docVIP

 PAGE \* MERGEFORMAT 4 About 1 case report of ectopic IUD Pelvic Keywords:] IUD; pelvic ectopic; Case Report 1 Case information Patients, female, aged 38, in May 2009 placed in the local hospitals T-ring, then no special discomfort, after 10 days no significant incentive to the right lower abdomen, persistent pain, local hospitals and county hospitals were from Central are not taken (specific unknown), and then to our center for treatment. checkup: T 37.8 ℃, P 88 times / min, BP 110/70mmHg, suffering face, passive posture, physical examination cooperation, no abnormal heart and lung, right lower quadrant tenderness apparent no rebound tenderness, shifting dullness negative, normal bowel sounds. gynecological examinations: external Yinfa Yu normal, smooth vagina, cervix production type, no give pain, posterior uterus, the size of normal, right side of the attachment area with tenderness, no mass . B over: a small amount of pelvic fluid; uterine muscle wall echo less uniform. CT: high density right side of the uterus (clinical considerations around from). Diagnosis: Ectopic IUD. After informed consent of patients and their families and sign operations consent, in continuous epidural anesthesia laparotomy. intraoperative findings: anterior wall of the uterus has a scar on the right side of the broad ligament of the uterus found in T-ring, separated out. a good postoperative recovery. 2 Discussion IUD is considered safe, effective and inexpensive methods of contraception, female sterilization is equivalent to the contraceptive effect [1]. With potentially serious complications of the IUD is uterine perforation, caused by differences in the abdominal cavity during IUD, it was reported that the rate was set from 0 to 1.3/1000 device women [2], can affect the adjacent organs, causing tissue damage and abdominal inflammation [3]. IUD causes ectopic home devices are mostly unskilled and uterine size, location is unclear, for forward flexion and backward