两例未取出宫内节育器的自然分娩,因宫内节育器移位导致膀胱结石形成:罕见病例

Tan Duy Vu, Hieu Trung Nguyen, Anh Lan Tran, Son Diem
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引用次数: 0

摘要

背景:宫内节育器(IUD)Multiload 375 是全世界广泛使用的一种避孕方法。宫内节育器穿刺子宫并进入膀胱是罕见的并发症之一。常见的表现是反复尿路感染和膀胱结石。长期忽视宫内节育器会增加子宫穿孔和移位到其他器官的风险:诊断:临床病史、膀胱镜检查、经阴道超声检查(US)或计算机断层扫描有助于确诊:我们报告了一名 39 岁女性的成功手术治疗,该女性 16 年来一直未放置 Multiload 375 型宫内节育器,但随后仍经历了两次阴道分娩,并最终发展为尿毒症。Multiload 375 宫内节育器通过膀胱导致膀胱结石形成:对于有宫内节育器使用史、反复下尿路感染或膀胱结石的妇女,泌尿科医生应将膀胱异物视为移位的宫内节育器。移动的宫内节育器需要通过膀胱镜、腹腔镜或开腹手术取出。在放置宫内节育器前后对妇女的健康进行适当的监测和教育,有助于及时发现并发症。
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Two Natural Births with Unremoved Iuds Causing Bladder Stone Formation Due to IUD Migration: A Rare Case
Background: Intrauterine Device (IUD) Multiload 375 is a method of contraception widely used worldwide. One of the rare complications is that the IUD punctures the uterus and moves into the bladder. Common manifestations are recurrent urinary tract infections and bladder stones. A long-term and neglected IUD increases the risk of uterine perforation and migration to other organs. Diagnosis: Clinical history, Cystoscopy, Transvaginal Ultrasound (US) or Computed Tomography helps confirm the diagnosis. Case Report: We report successful surgical treatment of a 39-year-old woman who neglected to insert a Multiload 375 IUD for 16 years, but still experienced 2 subsequent vaginal deliveries and eventually developed UTI. Bladder stone formation caused by the passage of the Multiload 375 intrauterine device through the bladder. Conclusions: Urologists should consider bladder foreign bodies as a displaced IUD in women with recurrent lower urinary tract infections or bladder stones, with a history of IUD use. The moving IUD needs to be removed through cystoscopy, laparoscopy, or open surgery. Proper monitoring and education for women’s health before and after IUD insertion helps to detect complications in a timely manner.
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