Intravesical migration of an intrauterine device with stone formation
| Autor: | Ching-Chang Hsieh, Tsia-Shu Lo, Tien-Yung Wei |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Time Factors Urinary Bladder Uterine perforation Population Uterus Physical examination Intrauterine device Foreign-Body Migration medicine Humans Dysuria education Pelvis Aged Gynecology Urinary Bladder Calculi education.field_of_study medicine.diagnostic_test business.industry Obstetrics and Gynecology General Medicine Cystoscopy medicine.disease Surgery Radiography medicine.anatomical_structure Female medicine.symptom business Intrauterine Devices |
| Zdroj: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 43:391-392 |
| ISSN: | 1479-828X 0004-8666 |
| DOI: | 10.1046/j.0004-8666.2003.00123.x |
| Popis: | Intrauterine contraceptive devices (IUCD) have been used for many decades. A number of complications including uterine perforation and migration into adjacent structures have been recorded. A 75-year-old women with an intrauterine contraceptive device (Lippes loop) that migrated from the uterus into the bladder over a period of 35 years with formation of a stone is reported. This is the longest period of migration that has been reported so far. A 74-year-old multigravid woman presented with a history of frequency urge incontinence and dysuria for 4 months. Physical examination revealed no abnormality. Urinalysis showed an abundance of leucocytes and significant growth of Escherichia coli. She was treated with an oral antibiotic (cotrimoxazole) and her symptoms improved. A Lippes loop had been inserted 35 years ago. Pelvic ultrasound revealed a mass located between the bladder and uterus with a free endometrial cavity. A plain radiography showed a large calcified mass encasing a Lippes loop (Fig. 1) in the pelvis. A cystoscopy revealed a 4.5 cm calculus in the bladder. (excerpt) |
| Databáze: | OpenAIRE |
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