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膀胱内移位宫内节育器的腔内泌尿外科处理：伴有结石形成的漏诊病例

Endourological management of migrated intravesical intrauterine contraceptive device: Neglected case with stone formation.

作者信息

Kalathia Jaisukh, Undaviya Devang, Patel Kaushal, Valiya Arvind, Vala Giriraj

机构信息

Department of Urology and Kidney Transplantation, Fortune Urology Clinic, India.

Department of Urology and Kidney Transplantation, Nephron Kidney Hospital, India.

出版信息

Urol Case Rep. 2023 Jan 3;46:102313. doi: 10.1016/j.eucr.2022.102313. eCollection 2023 Jan.

DOI:10.1016/j.eucr.2022.102313
PMID:36632282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9826870/
Abstract

Intrauterine contraceptive device (IUD) has been associated with numerous complications such as pelvic discomfort, spontaneous expulsion, and infections. In rare instances, perforation and migration can occur if neglected. We present a rare of 25-year-old female in whom a neglected perforated IUD (Cu-T) after two years completely migrated into the urinary bladder leading to large stone formation. The migrated IUD with stone was successfully managed via minimally invasive endourological management.

摘要

宫内节育器（IUD）与许多并发症有关，如盆腔不适、自然排出和感染。在罕见的情况下，如果被忽视，可能会发生穿孔和移位。我们报告了一例罕见病例，一名25岁女性，其一枚被忽视的穿孔宫内节育器（铜-T型）在两年后完全移位至膀胱，导致大量结石形成。通过微创腔内泌尿外科治疗成功处理了移位的宫内节育器合并结石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede5/9826870/2c80a284cf6b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede5/9826870/f7b424eb9fbc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede5/9826870/2c80a284cf6b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede5/9826870/f7b424eb9fbc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede5/9826870/2c80a284cf6b/gr2.jpg

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Urol Case Rep. 2023 Jan 3;46:102313. doi: 10.1016/j.eucr.2022.102313. eCollection 2023 Jan.
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本文引用的文献

1
Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review.腹腔镜下取出腹腔内宫内节育器：病例报告及系统评价。
Contraception. 2012 Jan;85(1):15-8. doi: 10.1016/j.contraception.2011.04.015. Epub 2011 Jun 11.
2
Intravesical migration of an intrauterine device detected in a pregnant woman.在一名孕妇体内检测到宫内节育器膀胱内移位。
Can Urol Assoc J. 2010 Oct;4(5):E141-3. doi: 10.5489/cuaj.938.
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Unusual migration of intrauterine device into bladder and calculus formation.宫内节育器异常迁移至膀胱并形成结石
Urol J. 2007 Winter;4(1):49-51.
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[The migrating intrauterine device. Case report and review of the literature].[游走性宫内节育器。病例报告及文献复习]
Contracept Fertil Sex. 1999 Oct;27(10):696-700.
5
Intravesical migration of intrauterine device.宫内节育器膀胱内移位
J Urol. 1992 Jan;147(1):132-4. doi: 10.1016/s0022-5347(17)37159-8.