Coronel Sánchez Belén, Sánchez Sanchis Manuel J, Carrascosa Lloret Víctor, Beltrán Armada José Ramón, Rodrigo Guanter Vicente, Tarín Planes Miguel, San Juan de Laorden Carlos
Servicio de Urología, Hospital Universitario Dr. Peset, Valencia, España.
Arch Esp Urol. 2004 Jan-Feb;57(1):75-8.
To report one case of uterine perforation and migration into the urinary bladder of an intrauterine contraceptive device.
METHODS/RESULTS: 42-year-old female patient who presents with lower urinary tract irritative syndrome in association to recurrent urinary tract infection. Ultrasound revealed apart of an intrauterine device inside the bladder, device which was inserted years before and was supposed to have come out spontaneously. Urethrocystoscopy with extraction of the intravesical segment and hysteroscopy with extraction of the intrauterine segment were carried out.
The postoperative period was satisfactory and patient is currently asymptomatic. Radiological or ultrasound controls should be performed in the follow-up of patients with intrauterine contraceptive devices. The inability to locate an intrauterine contraceptive device in a patient who did not realize it coming out should be considered an uterine perforation until proved otherwise.
报告一例宫内节育器子宫穿孔并移入膀胱的病例。
方法/结果：一名42岁女性患者，伴有下尿路刺激综合征及复发性尿路感染。超声检查发现膀胱内有宫内节育器的一部分，该节育器数年前置入，本应已自行排出。进行了经尿道膀胱镜检查以取出膀胱内部分，并行宫腔镜检查以取出宫腔内部分。
术后情况良好，患者目前无症状。对于使用宫内节育器的患者，随访时应进行影像学或超声检查。在未意识到宫内节育器已排出的患者中，若无法找到该节育器，在排除其他情况之前应考虑子宫穿孔。
