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[宫内节育器导致的双膀胱结石。报告1例]

[Double bladder lithiasis from an intrauterine device. Report one case].

作者信息

Iturralde Codina Armando, Gozá León Fernando, Beyríes Tamayo Walfrido, Iturralde Muñoz Yinet, Rodríguez Hidalgo María Elena

机构信息

Hospital Universitario 10 de Octubre, Universidad Médica de La Habana, Cuba.

出版信息

Arch Esp Urol. 2004 Mar;57(2):160-2.

Abstract

OBJECTIVES

To report a new case of an intrauterine device causing bladder lithiasis, because of its rarity as a complication of the intrauterine device contraceptive method.

METHODS/RESULTS: 27-year-old female patient admitted in the urology department of the "Hospital Medico-quirurgico 10 de Octubre" who having an intrauterine device was pregnant, underwent a caesarean section, and a new intrauterine device implant, and a few months later presented with lower urinary tract infectious syndrome, being diagnosed of double bladder lithiasis secondary to intrauterine device migration, for which cystolithotomy was performed.

CONCLUSIONS

We performed a short review of the bladder foreign bodies reported in the literature, and present this case which is very infrequent because of the finding of 2 stones in the bladder and an intrauterine device inside one of them. The intrauterine device was detected after crushing one of the calculi, 2 cm in size. It seems that first intrauterine device had migrated through the uterine wall into the bladder, creating a calcareous concretion around.

摘要

目的

报告一例宫内节育器导致膀胱结石的新病例,因其作为宫内节育器避孕方法的并发症较为罕见。

方法/结果:一名27岁女性患者入住“10月10日外科医院”泌尿外科,该患者放置宫内节育器后怀孕,接受了剖宫产手术,并植入了新的宫内节育器,几个月后出现下尿路感染综合征,被诊断为宫内节育器移位继发双侧膀胱结石,为此进行了膀胱切开取石术。

结论

我们对文献中报道的膀胱异物进行了简要回顾,并呈现了该病例,由于在膀胱中发现2块结石且其中一块结石内有宫内节育器,此病例非常罕见。在将其中一块2厘米大小的结石击碎后检测到了宫内节育器。似乎最初的宫内节育器已穿过子宫壁进入膀胱,并在周围形成了钙质结石。

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引用本文的文献

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Intravesical foreign bodies: a case report and a review of the literature.
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