産褥早期に挿入した子宮内避妊具が子宮穿孔をきたし、腹腔鏡下手術で除去した４症例

抄録

Introduction: The insertion of intrauterine devices (IUDs) is widely used as a reversible and highly effective contraceptive method. Uterine perforation is a rare but serious complication of IUDs.

Case: We experienced four cases in which uterine perforations were caused by IUDs and removed after laparoscopic identification of the perforation site.

Conclusion: Diagnostic laparoscopy is extremely useful in removing an IUD that has migrated into the abdominal cavity because it provides a full view of the intraperitoneal cavity. It is important to predict the degree of adhesion and the possibility of organ damage as much as possible in preoperative diagnostic imaging. Depending on the site of IUD migration, it is necessary to consider collaboration with gastroenterological surgeons and urologists.