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膀胱镜治疗嵌入膀胱壁并形成结石的宫内节育器:一例报告

Intrauterine device (IUD) embedded in bladder wall with calculus formation treated with cystoscopy: a case report.

作者信息

Hoang Van Trung, Le Ny Ny Thi, Hoang The Huan, Chansomphou Vichit

机构信息

Department of Radiology, Thien Hanh Hospital, 17 Nguyen Chi Thanh Street, Buon Ma Thuot 630000, Vietnam.

Department of Radiology, Nguyen Tri Phuong Hospital, 468 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City 70000, Vietnam.

出版信息

Oxf Med Case Reports. 2024 Jul 21;2024(7):omae073. doi: 10.1093/omcr/omae073. eCollection 2024 Jul.

Abstract

In the realm of unusual gynecological complications, the displacement of an intrauterine device (IUD) into the bladder, resulting in stone formation, stands out as an exceptionally rare and perplexing condition. Such occurrences challenge diagnostic and therapeutic protocols, often leading to unique case studies that expand our understanding of IUD-related complications. We present an interesting case of a 50-year-old woman with a stone-forming ectopic IUD in the bladder diagnosed with imaging modalities and treated with cystoscopy, with a subsequent resolution of symptoms. This case underscores the importance of considering ectopic IUD placement in the differential diagnosis of patients presenting with urinary symptoms and a history of IUD use. Moreover, it emphasizes the role of imaging in the accurate diagnosis of such cases and highlights cystoscopy as an effective treatment modality for the removal of IUD and stones.

摘要

在异常的妇科并发症领域,宫内节育器(IUD)移位至膀胱并导致结石形成是一种极为罕见且令人困惑的情况。此类事件对诊断和治疗方案构成挑战,常常催生独特的病例研究,拓展我们对IUD相关并发症的认识。我们呈现了一例有趣的病例,一名50岁女性,膀胱内有一枚形成结石的异位IUD,通过影像学检查得以诊断,并接受了膀胱镜检查治疗,随后症状得到缓解。该病例凸显了在对有泌尿系统症状且有IUD使用史的患者进行鉴别诊断时,考虑异位IUD置入情况的重要性。此外,它强调了影像学在准确诊断此类病例中的作用,并突出了膀胱镜检查作为取出IUD和结石的有效治疗方式的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e55c/11261510/622542804264/omae073f1.jpg

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