2021, Number 2
Migration of an intrauterine device to the bladder with secondary bladder lithiasis and recurrent cystitis as a clinical presentation. Case report
Language: Spanish
References: 9
Page: 107-114
PDF size: 266.40 Kb.
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
Abonia CH, Gomez MC, Mosquera JE, Torregroza MA, Garcia D, Usubillaga F. Translocación de dispositivo intrauterino de cobre a vejiga y litiasis vesical secundaria–reporte de caso clínico. Revista Urología Colombiana [Internet]. 2020 [citado 10 Ene 2021];29(1):58-62. Disponible en: https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0039-1688465.pdf
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
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