Nouioui Mohamed Ali, Taktak Tarek, Mokadem Seif, Mediouni Houssem, Khiari Ramzi, Ghozzi Samir
Department of Urology, Military Hospital of First Instruction of Tunis, University of Tunis El Manar, Tunisia.
Case Rep Urol. 2020 Apr 7;2020:2091915. doi: 10.1155/2020/2091915. eCollection 2020.
Intrauterine devices are a popular form of reversible contraception among women. Its administration can lead to some uncommon but serious complications such as perforation leading to its migration into adjacent organs. Like any foreign body, the presence of an IUD in the bladder can result in stone formation due to its lithogenic potential. We report a case of an IUD migrating from its normal position in the uterine cavity into the urinary bladder causing chronic low urinary tract symptoms in a 43-year-old female patient. The device was securely removed without complications using grasping forceps under cystoscopy, and no parietal defect was detected. A mislocated IUD is a rare complication that should be considered in female patients presenting with chronic urinary symptoms.
宫内节育器是女性中一种常用的可逆性避孕方式。其放置可能会导致一些罕见但严重的并发症,如穿孔并迁移至邻近器官。与任何异物一样,膀胱内存在宫内节育器因其致石潜力可导致结石形成。我们报告一例43岁女性患者,宫内节育器从子宫腔的正常位置迁移至膀胱,导致慢性下尿路症状。在膀胱镜检查下,使用抓钳安全地取出了该装置,未出现并发症,也未检测到壁层缺损。宫内节育器异位是一种罕见的并发症,对于出现慢性泌尿系统症状的女性患者应予以考虑。