PDF(Pubmed)
Abstract：
BACKGROUND: An intrauterine device (IUD) is a contraceptive device placed in the uterine cavity and is a common contraceptive method for Chinese women. However, an IUD may cause complications due to placement time, intrauterine pressure and other factors. Ectopic IUDs are among the most serious complications. Ectopic IUDs are common in the myometrium and periuterine organs, and there are few reports of ectopic IUDs in the urinary bladder, especially in the anterior wall.
METHODS: A 52-year-old woman was hospitalized due to a urinary bladder foreign body found via abdominal ultrasound and computed tomography (CT) examination. The patient had a 2-year history of recurrent abdominal distension and lower abdominal pain, accompanied by frequent urination, urgency, dysuria and other discomfort. Ultrasound examination revealed foreign bodies in the bladder cavity, with calculus on the surface of the foreign bodies. CT revealed a circular foreign body on the anterior wall of the urinary bladder, suggesting the possibility of an ectopic IUD. After laparoscopic exploration, an annular IUD was found in the anterior wall of urinary bladder, and an oval calculus with a diameter of approximately 2 cm was attached to the surface of the bladder cavity. The IUD and calculus were successfully and completely removed. The patient recovered well after surgery.
CONCLUSIONS: Abdominal ultrasound and CT are effective methods for detecting ectopic IUDs. The IUD is located in the urinary bladder and requires early surgical treatment. The choice of surgical method is determined by comprehensively considering the depth of the IUD in the bladder muscle layer, the situation of complicated calculus, the situation of intravesical inflammation and medical technology and equipment.
METHODS: A 52-year-old woman was hospitalized due to a urinary bladder foreign body found via abdominal ultrasound and computed tomography (CT) examination. The patient had a 2-year history of recurrent abdominal distension and lower abdominal pain, accompanied by frequent urination, urgency, dysuria and other discomfort. Ultrasound examination revealed foreign bodies in the bladder cavity, with calculus on the surface of the foreign bodies. CT revealed a circular foreign body on the anterior wall of the urinary bladder, suggesting the possibility of an ectopic IUD. After laparoscopic exploration, an annular IUD was found in the anterior wall of urinary bladder, and an oval calculus with a diameter of approximately 2 cm was attached to the surface of the bladder cavity. The IUD and calculus were successfully and completely removed. The patient recovered well after surgery.
CONCLUSIONS: Abdominal ultrasound and CT are effective methods for detecting ectopic IUDs. The IUD is located in the urinary bladder and requires early surgical treatment. The choice of surgical method is determined by comprehensively considering the depth of the IUD in the bladder muscle layer, the situation of complicated calculus, the situation of intravesical inflammation and medical technology and equipment.
摘要：
背景：宫内节育器（IUD）是放置在子宫腔中的避孕装置，是中国妇女的常用避孕方法。然而,宫内节育器可能会由于放置时间而导致并发症，宫内压力等因素。异位宫内节育器是最严重的并发症之一。异位宫内节育器常见于子宫肌层和子宫周围器官，膀胱异位宫内节育器的报道很少，尤其是前壁.
方法：一名52岁女性因腹部超声和计算机断层扫描（CT）检查发现膀胱异物而住院。患者有2年的反复腹胀和下腹痛病史，伴有尿频,紧迫性,排尿困难和其他不适。超声检查发现膀胱腔有异物，异物表面有微积分.CT显示膀胱前壁有一个圆形异物,暗示宫内节育器异位的可能性。腹腔镜探查后，膀胱前壁发现一个环形宫内节育器,和直径约2厘米的椭圆形结石附着在膀胱腔表面。宫内节育器和微积分被成功地完全移除。患者手术后恢复良好。
结论：腹部超声和CT是检测宫内节育器异位的有效方法。宫内节育器位于膀胱内，需要早期手术治疗。手术方法的选择是综合考虑宫内节育器在膀胱肌层的深度来决定的,复杂微积分的情况，膀胱内炎症情况及医疗技术和设备。
方法：一名52岁女性因腹部超声和计算机断层扫描（CT）检查发现膀胱异物而住院。患者有2年的反复腹胀和下腹痛病史，伴有尿频,紧迫性,排尿困难和其他不适。超声检查发现膀胱腔有异物，异物表面有微积分.CT显示膀胱前壁有一个圆形异物,暗示宫内节育器异位的可能性。腹腔镜探查后，膀胱前壁发现一个环形宫内节育器,和直径约2厘米的椭圆形结石附着在膀胱腔表面。宫内节育器和微积分被成功地完全移除。患者手术后恢复良好。
结论：腹部超声和CT是检测宫内节育器异位的有效方法。宫内节育器位于膀胱内，需要早期手术治疗。手术方法的选择是综合考虑宫内节育器在膀胱肌层的深度来决定的,复杂微积分的情况，膀胱内炎症情况及医疗技术和设备。
