Fibrous encapsulated nodule with massive pyometra caused by intrauterine device: a case report
10.3760/cma.j.cn101441-20210520-00230
- VernacularTitle:宫内节育器致纤维包裹结节伴大量宫腔积脓1例报道
- Author:
Xumin SONG
1
;
Ying SHAN
;
Cui JIANG
;
Yanyi LI
;
Yuanyuan GENG
;
Li CHEN
Author Information
1. 上海市浦东医院妇产科，上海 201399
- Publication Type:Journal Article
- Keywords:
Intrauterine device;
Fibrous encapsulated nodule;
Pyometra
- From:
Chinese Journal of Reproduction and Contraception
2022;42(9):952-955
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis, treatment and prevention of fibrous encapsulated nodules with massive pyometra caused by intrauterine device (IUD).Methods:The diagnosis and treatment of a patient with fibrous encapsulated nodule and massive pyometra caused by IUD is reported and analyzed.Results:The patient underwent panhysterectomy+bilateral adnexectomy. Postoperative pathology showed local endometrial tissue loss in the uterine cavity, a large number of acute and chronic inflammatory cell infiltration, inflammatory exudation and necrosis of lymphatic follicles. The encapsulated contraceptive nodule was fibrinous necrosis with an IUD in it. The patient recovered well after surgery.Conclusion:Fibrous encapsulated nodules with massive pyometra caused by IUD are rare, and removal of IUD within 6-12 months after cessation of menstruation is suggested to prevent the occurrence of this disease.
