Kallat Adil, Ibrahimi Ahmed, Fahsi Otheman, El Sayegh Hachem, Iken Ali, Benslimane Lounis, Nouini Yassine
Service d''Urologie A, Hôpital Ibn Sina, CHU, Rabat, Maroc.
Pan Afr Med J. 2017 Jul 13;27:193. doi: 10.11604/pamj.2017.27.193.13106. eCollection 2017.
The intrauterine device (IUD) is the most common contraceptive method used in the world. Transuterine migration is a rare complication, accounting for 1/350 - 1/10000 insertions in the literature. We report the case of a 40-year old patient, who had had an IUD insertion 12-year before, presenting with pelvic and right lower back pain associated with intermittent hematuria and burning during urination. Radiological assessment showed calcific deposits on intra bladder IUD. The patient underwent cystostomy, without any difficulty, allowing stone and IUD extraction. A urinary catheter was left in place for 5 days and then withdrawn. The postoperative course was uneventful.
宫内节育器(IUD)是世界上最常用的避孕方法。子宫内移位是一种罕见的并发症,文献报道其发生率为1/350 - 1/10000。我们报告一例40岁患者,其12年前放置了宫内节育器,现出现盆腔和右下腹疼痛,并伴有间歇性血尿和排尿烧灼感。影像学评估显示膀胱内的宫内节育器有钙化沉积。患者顺利接受了膀胱造瘘术,取出了结石和宫内节育器。留置导尿管5天后拔除。术后过程顺利。