Resumo

RODRIGUEZ COLLAR, Tomás Lázaro et al. Bladder lithiasis secondary to intrauterine device migration: Case report. Arch. Esp. Urol. [online]. 2008, vol.61, n.5, pp.640-643. ISSN 0004-0614.

Objective: To report one clinical case of bladder lithiasis secondary to the migration of an intrauterine device, its symptoms, diagnostic tests employed and treatment. Methods/Results: 30 year old female patient who presented lower urinary tract irritative symptoms. One year before she underwent insertion of an intrauterine device (copper T) after endometrial curettage for pregnancy interruption. She received treatment for infection cystitis over two years, with various antibiotic cycles. The persistence of symptoms led her to the urology clinics, and a 5x 3 cm intravesical lithiasis with a copper T inside was detected by ultrasound and pelvic anterior-posterior x-ray. Suprapubic cystolithotomy was performed with a good outcome and disappearance of the symptoms. Conclusions: The migration of an intrauterine device to the bladder is an unfrequent cause of bladder lithiasis secondary to foreign body. Nevertheless, we must consider this possibility in front of chronic lower urinary tract irritative symptoms in every female using this birth control method.

Palavras-chave : Bladder lithiasis; Intrauterine device; Intravesical foreign body.

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