Ectopic intrauterine device in the bladder causing cystolithiasis:A case report  

作　　者：Hai-Tao Yu Yong Chen Yong-Peng Xie Ting-Bin Gan Xin Gou 

机构地区：[1]Department of Urology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China

出　　处：《World Journal of Clinical Cases》2022年第10期3194-3199,共6页世界临床病例杂志

摘　　要：BACKGROUND An intrauterine device(IUD)is a commonly used contraceptive among women in China.It is widely used because it is safe,effective,simple,economic,and reversible.Among the possible complications,an ectopic IUD in the bladder is rare.It occurs insidiously,has a long course,is associated with a high risk for injury,and is difficult to treat.CASE SUMMARY A 44-year-old woman was admitted for repeated episodes of urinary frequency,urgency,and dysuria over three months.Laboratory tests revealed significantly elevated urine leukocytes and bacteria.Urine culture suggested colonization with Enterococcus faecalis.Abdominal computed tomography images suggested an abnormally positioned IUD that was protruding into the bladder.Cystoscopy revealed a metallic foreign body with multiple stones on its surface in the left posterior bladder wall.The foreign body measured approximately 1 cm.Hysteroscopy revealed the arm of a V-type metal IUD embedded in the middle and upper sections of the anterior wall of the cervical canal.The majority of the IUD was located in the uterine cavity.Cystoscopy was performed,and a holmium laser was utilized to break the stones attached to the portion of the IUD in the bladder.The IUD was then removed through hysteroscopy.CONCLUSION Ectopic IUDs in the bladder can be diagnosed with thorough imaging and safely removed through cystoscopy or hysteroscopy.

关 键 词：Migrated intrauterine device CYSTOSCOPY HYSTEROSCOPY Bladder stones Urinary tract infection Case report 

分 类 号：R169.41[医药卫生—公共卫生与预防医学] R694.4