A Case of Panperitonitis Caused by Uterine Perforation due to Prolonged Placement of an Intrauterine Contraceptive Device

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  • ONO Shingo
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • EBANA Hiroki
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • TANAMI Hideaki
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • MARUYAMA Shoji
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • SATOH Eigo
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • MATSUMOTO Jun
    Department of Surgery, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital
  • SAKOMA Takaaki
    Department of Pathology, Tokyo Metropolitan and Medical Treatment Corporation Ohkubo Hospital

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Other Title
  • 長期子宮内避妊具による子宮穿孔性汎発性腹膜炎の1例
  • 症例 長期子宮内避妊具による子宮穿孔性汎発性腹膜炎の1例
  • ショウレイ チョウキ シキュウ ナイ ヒニング ニ ヨル シキュウ センコウセイ ハンハツセイ フクマクエン ノ 1レイ

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Abstract

A 77-year-old woman, who had been on hemodialysis due to chronic renal failure, was referred to our hospital for further examination of high fever and abdominal distension. There was a one-month history of poor health and she had been given antimicrobial agent at the previous hospital. When she was first seen at our hospital, tenderness over the abdomen and peritoneal irritation sign were recognized. Blood examination revealed a rise in inflammatory reaction. Abdominal contrast-enhanced CT scan showed free intra-abdominal air, ascites and an intrauterine contraceptive device (IUD). Since there was gas image inside of the uterine, around the IUD, and she had panperitonitis, uterine perforation due to the IUD was suspected. Emergency operation disclosed perforation in the uterine fundus. We performed total hysterectomy and constructed colostomy. Here, we report a rare case of panperitonitis caused by uterine perforation due to prolonged placement of IUD.

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