Briceno Sean A, Brown Matthew R, Herson Andrew B, Fischer Steven T, Healey Kevin D, Miller Brooke T, W Fountain Michael
Urology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Urology, AdventHealth Waterman, Tavares, USA.
Cureus. 2023 Apr 27;15(4):e38217. doi: 10.7759/cureus.38217. eCollection 2023 Apr.
This case report discusses a 77-year-old female patient who presented to an outpatient clinic with urinary symptoms and recurrent UTIs. Imaging revealed a foreign body, which was later confirmed as a retained intrauterine device (IUD) that had caused a vesicouterine fistula (VUF). The patient had a medical history of cervical cancer treated with radiation therapy, during which her IUD's string could not be located, leading to the decision to proceed with radiation therapy without removing the IUD. The patient opted to manage her condition medically rather than undergo surgical removal due to concerns about worsening the vesicouterine fistula. This case highlights the potential risks and complications of retained IUDs, and the importance of careful consideration and communication among clinical teams and patients when managing these situations.
本病例报告讨论了一名77岁的女性患者，她因泌尿系统症状和复发性尿路感染前往门诊就诊。影像学检查发现了一个异物，后来证实是一枚残留的宫内节育器（IUD），该节育器导致了膀胱子宫瘘（VUF）。该患者有宫颈癌放疗病史，放疗期间无法找到其宫内节育器的尾丝，因此决定在不取出宫内节育器的情况下进行放疗。由于担心膀胱子宫瘘恶化，患者选择药物治疗而非手术取出。本病例突出了残留宫内节育器的潜在风险和并发症，以及临床团队和患者在处理这些情况时进行仔细考虑和沟通的重要性。
