[ MIGRATION INTRAVESICALE D’UN DISPOSITIF INTRA-UTERIN COMPLIQUEE D’UNE LITHIASE: A PROPOS D’UN CAS ]
Volume 50, Issue 2, September 2020, Pages 122–127
Chaymaa Mohammadine1, Hamza Dergamoun2, J. Meddah3, Ahmed Ibrahimi4, Aziz Slaoui5, and Aziz Baidada6
1 Service de Gynécologie-Obstétrique et de Grossesse à Haut Risque, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
2 Service d'Urologie A, Hôpital Ibn Sina, Avenue Abderrahim Bouabid 10100, Rabat, Morocco
3 Service de gynécologie obstétrique cancérologie et grossesse à haut risque, Maternité Souissi, Université Mohamed V, Rabat, Morocco
4 Service d'Urologie A, Hôpital Ibn Sina, Avenue Abderrahim Bouabid 10100, Rabat, Morocco
5 Service de Gynécologie-Obstétrique et d’Endoscopie Gynécologique, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
6 Service de Gynécologie-Obstétrique et d’Endoscopie Gynécologique, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
Original language: French
Copyright © 2020 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The intrauterine device (IUD) is a contraception method widely used in developing countries because of its effectiveness and low cost. Its insertion is a simple medical procedure, but may present some complications, such as intravesical migration complicated with a lithiasis, which is rare but not negligible. We report here a case of IUD having migrated into the bladder, which has calcified secondarily. The patient is a 48-year-old woman who had consulted for irritative bladder signs for 2 months. The history revealed that the third pregnancy was contracted on the IUD, fitted 18 years ago and left uncontrolled after delivery.The gynecological examination did not objectify the marker tail of IUD. The pelvic ultrasound and the abdomen X-ray without preparation revealed the uterine vacuity and the IUD surrounded by stones on the bladder area. A supplementary scan confirmed it without showing a vesico-uterine fistula. The cystoscopy allowed to remove the IUD after having fragmented the lithiasis by endo-vesical pneumatic lithotripsy with Lithoclast.Imaging methods are critical to make a diagnosis. The admittance in urology is required and the preferred treatment is based on cystoscopy extraction. In order to avoid such complication, it is therefore important to follow the medical instructions for the placement of IUD and to regularly verify its localization.
Author Keywords: Intra-uterine device, Intravesical migration, Lithiasis, Imaging, Cystoscopy, Lithotripsy.
Volume 50, Issue 2, September 2020, Pages 122–127
Chaymaa Mohammadine1, Hamza Dergamoun2, J. Meddah3, Ahmed Ibrahimi4, Aziz Slaoui5, and Aziz Baidada6
1 Service de Gynécologie-Obstétrique et de Grossesse à Haut Risque, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
2 Service d'Urologie A, Hôpital Ibn Sina, Avenue Abderrahim Bouabid 10100, Rabat, Morocco
3 Service de gynécologie obstétrique cancérologie et grossesse à haut risque, Maternité Souissi, Université Mohamed V, Rabat, Morocco
4 Service d'Urologie A, Hôpital Ibn Sina, Avenue Abderrahim Bouabid 10100, Rabat, Morocco
5 Service de Gynécologie-Obstétrique et d’Endoscopie Gynécologique, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
6 Service de Gynécologie-Obstétrique et d’Endoscopie Gynécologique, Hôpital Maternité Souissi, Boulevard Ibn Rochd 10100, Rabat, Morocco
Original language: French
Copyright © 2020 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The intrauterine device (IUD) is a contraception method widely used in developing countries because of its effectiveness and low cost. Its insertion is a simple medical procedure, but may present some complications, such as intravesical migration complicated with a lithiasis, which is rare but not negligible. We report here a case of IUD having migrated into the bladder, which has calcified secondarily. The patient is a 48-year-old woman who had consulted for irritative bladder signs for 2 months. The history revealed that the third pregnancy was contracted on the IUD, fitted 18 years ago and left uncontrolled after delivery.The gynecological examination did not objectify the marker tail of IUD. The pelvic ultrasound and the abdomen X-ray without preparation revealed the uterine vacuity and the IUD surrounded by stones on the bladder area. A supplementary scan confirmed it without showing a vesico-uterine fistula. The cystoscopy allowed to remove the IUD after having fragmented the lithiasis by endo-vesical pneumatic lithotripsy with Lithoclast.Imaging methods are critical to make a diagnosis. The admittance in urology is required and the preferred treatment is based on cystoscopy extraction. In order to avoid such complication, it is therefore important to follow the medical instructions for the placement of IUD and to regularly verify its localization.
Author Keywords: Intra-uterine device, Intravesical migration, Lithiasis, Imaging, Cystoscopy, Lithotripsy.
Abstract: (french)
Le dispositif intra-utérin est une méthode de contraception largement utilisée dans les pays en voie de développement en raison de son efficacité et son faible coût. Son insertion est un acte médical simple, mais non dénué de complications, telle que la migration intravésicale compliquée d’une lithiase, qui est rare mais non négligeable. Nous rapportons ici un cas de stérilet, ayant migré dans la vessie, qui s’est calcifié secondairement. Il s’agit d’une femme de 48 ans qui a consulté pour des signes urinaires irritatifs depuis 2 mois. L’anamnèse a révélé que la 3ème grossesse était contractée sur le stérilet, mis en place il y a 18 ans et non contrôlé après l’accouchement.L’examen gynécologique n'a pas objectivé le fil du dispositif. L’échographie pelvienne et le cliché d’abdomen sans préparation ont permis de visualiser la vacuité utérine et le stérilet incrusté de calculs projeté sur l'aire vésicale. Un complément scanographique a confirmé ceci sans montrer de fistule vésico-utérine. La cystoscopie a alors permis l’extraction du dispositif après avoir fragmenté la lithiase par lithotritie pneumatique endo-vésicale au Lithoclast.L’imagerie est donc fondamentale pour établir le diagnostic. Une prise en charge en milieu urologique est nécessaire et le traitement de choix repose sur l’extraction cystoscopique. Afin d’éviter une telle complication, il est donc important de respecter les règles de la pose du stérilet et de surveiller régulièrement sa localisation.
Author Keywords: Dispositif intra-utérin, Migration intravésicale, Lithiase, Imagerie, Cystoscopie, Lithotritie.
How to Cite this Article
Chaymaa Mohammadine, Hamza Dergamoun, J. Meddah, Ahmed Ibrahimi, Aziz Slaoui, and Aziz Baidada, “INTRAVESICAL MIGRATION OF AN INTRA-UTERINE DEVICE COMPLICATED WITH A LITHIASIS: A CASE REPORT,” International Journal of Innovation and Scientific Research, vol. 50, no. 2, pp. 122–127, September 2020.
