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Gaceta Médica Espirituana
versión On-line ISSN 1608-8921
Resumen
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 02-Ago-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.
Palabras clave : Intrauterine device migration; intrauterine devices; urinary bladder stones; urinary bladder calculi; uterine perforation; cystitis and epidemiology; urinary bladder; recurrent cystitis.