All kinds of dangerous complications when women forget to take the IUD, leading to the ectopic IUD piercing the uterus, perforating the colon, intestines and the place of tumor…
IUD wrapped in uterine fibroids – Photo: BVCC
Surprised when vThe IUD is in the tumor
QTL patient (60 years old) came to Hanoi Obstetrics and Gynecology Hospital to request removal IUD because it has been placed for 20 years, but the district line has failed to remove it˳
Doctor Tran Thi Ngoc Linh, voluntary gynecological examination department, said that the IUD is still in place in the uterine cavity, but cannot be reached˳ intrauterine device according to conventional methods, although clearly observed on ultrasound˳
“We flexibly changed the different methods and, especially, we were able to remove a uterine fibroid and a long-standing IUD was encased in that tumor˳ The patient’s uterus was restored˳ preserved intact”˳
At K Hospital, during cancer surgery, doctors often catch IUDs “migrating” from the uterus to the abdomen of the patients˳
The most recent case is the case of Mrs˳ NTT (75 years old, Vinh Phuc) with stomach cancer˳ During the operation, the doctors found the IUD attached to the patient’s small bowel mesenteric tumor˳
Mrs˳ NT˳ (66 years old, Bac Ninh), in the rectal surgery, the doctors found Dana ring in the uterine compartment close to the rectum… Fortunately, these patients did not have the ring causing complications of peritonitis or internal bleeding˳ dangerous to life˳
Viet Duc Hospital also performed emergency surgery to cut a section of necrotic intestine for Ms˳ Nguyen Thi L˳ (75 years old, Bac Giang) due to the IUD going into the abdomen˳
Bach Mai Hospital also had to surgically remove the ectopic IUD and treat the colonic perforation for Ms˳ HHL (38 years old) who was admitted to the hospital because of dull abdominal pain below the navel, accompanied by blood in the stool˳
Ms˳ L˳ has a history of 3 years of IUD insertion and has not been re-examined˳ The results of colonoscopy and computed tomography showed that the ring is located at one end in the lumen of the sigmoid colon, the other end is firmly embedded in the wall of the sigmoid colon towards the mesenteric border˳
Doctor Le Thi Kim Dung, an expert in obstetrics and gynecology, said that she has handled many cases of complications due to overdue IUDs, mild infections, pregnant Unintentionally, severely, there is a case of a tumor which is an abscess because the ring is deeply rooted in the lining of the uterus, filled with pus causing the uterus to rupture, it takes a day for the doctor to remove the ring…
In many cases, the ring goes into the front and sticks to the bladder causing damage to the bladder and especially to the abdomen, into the intestine causing necrosis, obstruction …
Foreign objects left for a long time dangerous complications
Doctor Le Thi Kim Dung said that the IUD normally does not cause life-threatening complications, if the patient strictly follows the doctor’s instructions, which is to periodically visit and remove the IUD when it expires or when the period ends˳ ˳
Normally, IUDs, depending on the type, have a term of 5-10 years˳ However, many patients leave the IUD in the body for more than 20, 30 years˳ There are people who have been in menopause for a long time, suddenly having abdominal pain to remember … the ring, hospitalized, there were complications˳
A long-lasting IUD is considered a foreign body in the uterus˳ The uterus often contracts, so it’s overdue if fortunately the ring falls out, otherwise the trauma encroaches on other organs causing complications˳
Overdue rings can be deviated, fractured, even penetrated into the abdomen, clinging to nearby organs˳ This will cause damage, infection, even uterine perforation, peritonitis or internal bleeding… causing the patient to die˳
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Baby boy was born healthy, brought the whole IUD to ‘return’ his parents
According to Dr˳ Nguyen Cong Nguyen (Bach Mai Hospital), IUDs can move through the uterus with a rate of 1˳3 – 1˳6/1,000 times˳
After penetrating the uterus, the IUD may fall freely into the abdomen or remain in the pelvis, or may further penetrate adjacent structures such as the bladder, colon, and small intestine and form cysts˳ Uterine-bladder or uterine-intestinal fistula…
Symptoms of an ectopic IUD are varied, depending on the time and organs of the device moving: abdominal pain in the lower abdomen, fever; diarrhea or gastrointestinal bleeding; In some cases, intestinal obstruction and necrosis may occur…
“The World Health Organization recommends that once an IUD has been identified as being misplaced, it should be removed as soon as possible, regardless of the type and location of the IUD˳ It’s best to get an IUD removed˳ when moved using minimally invasive techniques˳
Normally, taking the ring out is very simple, so when you put it on, you see abnormalities such as missed periods, sudden bleeding, abdominal pain …, or when the ring expires, postmenopausal women … should go to check, remove the ring˳
To avoid complications, the contraceptive device is out of place and promptly handled, it is necessary to note:
– Avoid IUD in the postpartum period, breastfeeding period
– Use plastic IUDs rather than metal ones
– Do tricks with the right tools and avoid being rough
– IUD insertion should be performed by an experienced person
– Periodic examination and follow-up˳
Baby girl born with mother’s IUD
Source link: https://cocc˳edu˳vn/vong-tranh-thai-bi-bo-quen-va-nhung-cai-ket-kho-quen-20230524075816521˳htm
