At Bai Chay Hospital (Quang Ninh), patient Nguyen T X (66 years old, residing in Kinh Mon town, Hai Duong province) was taken with a computer layer, the results showed that the sub -frame has imagesAbout 1/3 of the length of the uterus, 2/3 is located in the sub -frame close to the surrounding small intestine, fluid and free gas.Doctors have consulted obstetric - unexpectedly diagnosed peritonitis caused by perforation of the small intestine/uterine tools in the abdominal cavity.
Doctors conducted emergency surgery to handle damage to patients.The surgical process of observation found that dirty abdominal cavity has opaque fluid, food, the front of the uterus with the uterine uterus in the number 8 (1/3 of the ring in the uterus 2/3 of the ring is outside the uterus), the small intestine strap is located close to the torn uterine body about 2cm, exit digestive fluid.After 24 hours of surgery, taking uterine uterus on the uterus, restoring uterine muscle, small intestine holes, hemostasis, washing and setting abdominal drainage, stable patient health and being followed byMonitor the recovery process.
The IUD is the uterus piercing, perforation of the small intestine
Dr. CKI Nguyen Thanh Hung, Faculty of Surgery, Bai Chay Hospital said: In the case of this patient, due to the IUD for many years but did not check, it was not detected in the uterus, through the musclesSupply into the abdomen causes perforation of the small intestine, peritonitis.The surgery to eliminate foreign objects is a timely uterine tool that helps patients avoid the risk of serious life that threatens the life of patients such as all peritonitis, infections, abdominal poisoning.
Most women choose the method of placing an IUD because of their long -term use, simple rings, less harmful to the body, low cost.Dr. Cki To Thi Kim Quy, Head of the Department of Obstetrics and Gynecology, Bai Chay Hospital said: “Some cases may experience complications after uterine tools such as abdominal pain, vaginal blood prolonged, inflammationThe extra, ectopic pregnancy ... and especially the uterine tool.
Patient health stabilized after surgery
Under the natural spasm of the uterus, the uterus can be immigrated from its initial location, which can be expelled out through the cervix or moving upwards, through the muscle layer.bow.The small percentage after penetrating the uterus, the uterus can fall freely into the abdomen or in the pelvis, can penetrate the small intestine, colon, rectum causing peritonitis, infection, toxicityAbdominal ...;Located in the mesenteric or large connection;Can penetrate the bladder or ureter ... causing blood urine, urinary tract infections ... ".
The symptoms of the IUD are very diverse, depending on the time and the moving tool.Clinical symptoms may be encountered are abdominal pain, fever;diarrhea or gastrointestinal bleeding;In some cases, bowel obstruction may be encountered.When the ureter is there, the bladder may experience difficulty, urination, blood, urinary tract infections recurrent many times ... The uterine tool is a rare case, but complications of complicationsAnd its consequences can be very heavy, life -threatening.To limit unwanted complications, the doctors recommend:
- People need to go to a reputable medical examination and treatment facility to perform the procedures for uterine equipment and periodic inspection under the guidance of health workers.
- When applying contraception is a uterine tool, which should be examined every 6 months and the examination as soon as abnormalities such as lower abdominal pain and two pelvic pits, output of vaginal abnormal fluid.