Abdulwahab-Ahmed Abdullahi, Ogunleye Oluwagbemiga Olabisi
Department of Surgery, Usmanu Danfodiyo University, Teaching Hospital, Sokoto, Nigeria.
J Surg Tech Case Rep. 2013 Jan;5(1):48-50. doi: 10.4103/2006-8808.118630.
Intravesical migration of intrauterine contraceptive device (IUCD) is rare. Early diagnosis of this rare entity is difficult because of its non-specific manifestations and very low index of suspicion. We present this case of bladder stone following intravesical migration of IUCD found to have been missing since insertion 10 years earlier. Lower abdominal discomfort and a missing vaginal string may be the only pointer to this unfortunate event in the immediate post insertion period. It is pertinent to consider the possibility of an intravesical migration of a missing IUCD in a patient presenting with lower abdominal discomfort, urinary frequency, and missing IUCD string on vaginal examination.
宫内节育器(IUCD)膀胱内移位罕见。由于其临床表现不具特异性且怀疑指数极低,早期诊断这一罕见情况颇具难度。我们在此呈现一例IUCD膀胱内移位后形成膀胱结石的病例,该IUCD自10年前置入后就已失踪。下腹部不适以及阴道尾丝缺失可能是置入后即刻这一不幸事件的唯一线索。对于出现下腹部不适、尿频且阴道检查发现IUCD尾丝缺失的患者,有必要考虑失踪IUCD膀胱内移位的可能性。