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Gaceta Médica Espirituana

On-line version ISSN 1608-8921

Abstract

MARIN VALLE, Katia et al. Migration of an intrauterine device to the bladder with secondary bladder lithiasis and recurrent cystitis as a clinical presentation. Case report. Gac Méd Espirit [online]. 2021, vol.23, n.2, pp. 107-114.  Epub Aug 02, 2021. ISSN 1608-8921.

Background:

The intrauterine device has been used for years as a contraceptive method; a non-frequent complication after its insertion is migration out of the uterus. The bladder location and the formation of vesicolithiasis are complications associated with migration.

Objective:

To present a migration case from an intrauterine device to the bladder with overadded lithiasis as an unusual etiology of recurrent cystitis.

Case report:

Clinical case of an intrauterine device in the bladder in a 43-year-old patient, whose diagnosis was made incidentally in a recurrent cystitis study, it was diagnosed by imaging and endoscopy in the Urology consultation; surgical treatment was decided by means of open cystolithotomy and a stone 4x5 cm in diameter was extracted. The patient evolved satisfactorily.

Conclusions:

To consider the possibility of migration of the intrauterine device to the bladder with overadded lithiasis as a cause of recurrent cystitis in female patients who have a preceding use of this contraceptive method, thus it constitutes an important element in the diagnosis and treatment of urinary lower infection.

Keywords : Intrauterine device migration; intrauterine devices; urinary bladder stones; urinary bladder calculi; uterine perforation; cystitis and epidemiology; urinary bladder; recurrent cystitis.

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