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2021, Number 2

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Gaceta Médica Espirituana 2021; 23 (2)

Migration of an intrauterine device to the bladder with secondary bladder lithiasis and recurrent cystitis as a clinical presentation. Case report

Marín VK, Castillo-Quintana MP, Peña FLM, González MMA, Hernández FAA
Full text How to cite this article

Language: Spanish
References: 9
Page: 107-114
PDF size: 266.40 Kb.


Key words:

intrauterine device migration, intrauterine devices, urinary bladder stones, urinary bladder calculi, uterine perforation, cystitis and epidemiology, urinary bladder, recurrent cystitis.

ABSTRACT

Background: The intrauterine device has been used for years as a contraceptive method; a non-frequent complication after its insertion is migration out of the uterus. The bladder location and the formation of vesicolithiasis are complications associated with migration.
Objective: To present a migration case from an intrauterine device to the bladder with overadded lithiasis as an unusual etiology of recurrent cystitis.
Case report: Clinical case of an intrauterine device in the bladder in a 43-year-old patient, whose diagnosis was made incidentally in a recurrent cystitis study, it was diagnosed by imaging and endoscopy in the Urology consultation; surgical treatment was decided by means of open cystolithotomy and a stone 4x5 cm in diameter was extracted. The patient evolved satisfactorily.
Conclusions: To consider the possibility of migration of the intrauterine device to the bladder with overadded lithiasis as a cause of recurrent cystitis in female patients who have a preceding use of this contraceptive method, thus it constitutes an important element in the diagnosis and treatment of urinary lower infection.


REFERENCES

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  2. Sano M, Nemoto K, Miura T, Suzuki Y. Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation. J Endourol Case Rep [Internet]. 2017 [cited 2020 Jan 15];3(1):105-107. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628558/pdf/cren.2017.0038.pdf

  3. Priyadarshi V, Sehgal N, Sen D. Ureteric erosion and obstruction: A rare but dreaded complication of intrauterine contraceptive device. Urol Ann [Internet]. 2017 [cited 2020 Jan 15];9(1):103-106. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308026/

  4. Torres JP, Fernandes V, Morais N, Anacleto S, Mota P, Lima E. Percutaneous or Transurethral Cystolithotomy for Bladder Lithiasis: Which is Safer? Acta Urológica Portuguesa [Internet]. 2019 [cited 2021 Jan 10];36(1-2):17-22. Available from: https://www.actaurologicaportuguesa.com/index.php/aup/article/view/115/50

  5. Rodríguez Carballo M, Montero García JA, Sánchez Falcón A. Litiasis vesical secundaria a dispositivo intrauterino incrustado en pared vesical: Revisión de un caso clínico. Rev Med Electron [Internet]. 2009 [citado 15 Ene 2020];31(3). Disponible en: http://scielo.sld.cu/pdf/rme/v31n3/spu10309.pdf

  6. Gordon C, Tabetha H. Controversies in family planning: intrauterine device placement in solid organ transplant patients. Contraception [Internet]. 2019 [cited 2021 Jan 10];100(3):250-252. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0010782419301751?via%3Dihub

  7. Howard DL, Ceballos S, Volker KW. The Incidence of Mechanical Complicatios of Intrauterine Devices in the United States. JMIG [Internet]. 2017 [cited 2020 Jan 15];24(7Suppl). Available from: https://www.jmig.org/article/S1553-4650(17)31025-7/fulltext

  8. Schlachterman A, Sharma A, Hilgenfeldt E. Lost and Found, a Case of IUD Migration. EC Gynaecology [Internet]. 2019 [cited 2021 Jan 10];8(3):109-111. Available from: https://www.ecronicon.com/ecgy/pdf/ECGY-08-00284.pdf

  9. Dimitropoulos K, Skriapas K, Karvounis G, Tzortzis V. Intrauterine device migration to the urinary bladder causing sexual dysfunction: a case report. Hippokratia [Internet]. 2016 [cited 2020 Jan 15];20(1):70-72. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074402/pdf/hippokratia-20-70.pdf




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