Çağatay ÖZSOY, Selim TAŞ, Kaan KARAMİK, Hakan ANIL, Halil İbrahim EROL, Ekrem İSLAMOĞLU

34 Haftalık Gebe Hastanın Mesanesinde Rahim İçi Araç Migrasyonuna Bağlı Oluşan Taş

35 yaşında gebe hasta son üç aydır olan acil idrar hissi, dizüri ve pollaküri şikayetleriyle tarafımıza başvurdu. Yapılan üriner ultrasonografide mesane içerisinde bir rahim içi araç ve ona yapışık haldeki kalkül görüldü. Hastanın özgeçmişi sorgulandığında 5 sene önce kontrasepsiyon amaçlı rahim içi araç uygulandığı öğrenildi. Mesane içi yabancı cisme bağlı oluşan idrar yolu enfeksiyonu için doğuma kadar uygun antibiyotiklerle tedavi edildi. Doğum sonrası yapılan sistoskopiyle rahim içi araç ve beraberindeki kalkül mesaneden temizlendi.

Anahtar Kelimeler:

Migrasyon, RİA, Mesane taşı

Vesical Calculus Formation in a 34 Week Pregnant Patients Bladder; Due to Migrated Copper-T Intrauterine Contraceptive Device

A 35-year-old pregnant patient presented with urgency, diysuria ,and pollakiuria for last three months. Ultrasonography revealed that there is an intrauterine contraceptive device (IUCD) and a calculus attached on it in her bladder. She had an IUCD insertion 5 years ago. She treated with proper antibiotics for urinary tract infections until giving birth. After giving birth a cystoscopy performed and IUCD removed from bladder with stone.

Keywords:

migrated, iucd, bladder stone,

PDF

___

1. El-Diasty TA, Shokeir AA, El-Gharib MS, et al Bladder stone: a complication of intravesical migration of Lippes loop. Scand J Urol Nephrol 27: 279–280, 1993.
2. Markovitch O, Klein Z, Gidoni Y, et al Extrauterine mislocated IUD: is surgical removal mandatory? Contraception 66:105–108, 2002.
3. Harrison-Woolrych M, Ashton J, Coulter D:Uterine perforation on intrauterine device insertion: is the incidence higher than previously reported? Contraception 67: 53–56, 2003.
4. Eke N, Okpani AO. Extrauterine translocated contraceptive device: a presentation of five cases and revisit of the enigmatic issues of iatrogenic perforation and migration. Afr J Reprod Health 7:117–123, 2003.
5. Khaleel A. Al-Awadi, Ahmed S. Zaghloul, Elijah O. Kehinde Symptomatic Secondary Vesical Calculus Formed on an Intrauterine Contraceptive Device Inserted 25 Years Previously. Urol Int 86:483–486, 2011.
6. Schoenfeld A, Pardo J, Engelstein D, et al: Bladder perforation by an intrauterine device. J Clin Ultrasound 19: 175–177, 1991.
7. Atasoy C, Fitoz S, and Akyar S: Bladder stone caused by an ectopic intrauterine contraceptive device: case report. Can Assoc Radiol J 52: 33–34, 2001.
8. Iqbal Singh: Intravesical Cu-T emigration: an atypical and infrequent cause of vesical calculus Int Urol Nephrol 39:457–459, 2007.
9. Zakin D: Perforation of the bladder by the intrauterine device. Obstet Gynecol Surv 39: 59–66, 1984.
10. Mahmut Yazicioglu K, Ozdemir H, Ozkan P:Migration of an intrauterine contraceptive device to the urinary bladder: sonographic findings. J Clin Ultrasound 230: 496–498, 2002.