Liu SX, Dong XY. Using laparoscope to remove an ectopic intrauterine device in the anterior wall of urinary bladder: A case report. World J Clin Cases 2024; 12(17): 3221-3225 [PMID: 38898866 DOI: 10.12998/wjcc.v12.i17.3221]
Corresponding Author of This Article
Xing-You Dong, MD, Deputy Chief Physician, Department of Urology, Shapingba Hospital Affiliated to Chongqing University, Nanxi Village, No. 2 Jialang Road, Jingkou Street, Shapingba District, Chongqing 400030, China. dongxingyou66@126.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2024; 12(17): 3221-3225 Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3221
Using laparoscope to remove an ectopic intrauterine device in the anterior wall of urinary bladder: A case report
Shi-Xue Liu, Xing-You Dong
Shi-Xue Liu, Xing-You Dong, Department of Urology, Shapingba Hospital Affiliated to Chongqing University, Chongqing 400030, China
Author contributions: Liu SX and Dong XY completed the surgery, gathered the patient’s data and images; Liu SX wrote the manuscript. All authors read the draft, edited and confirmed the data.
Informed consent statement: The patient provided written informed consent prior to the writing of the case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xing-You Dong, MD, Deputy Chief Physician, Department of Urology, Shapingba Hospital Affiliated to Chongqing University, Nanxi Village, No. 2 Jialang Road, Jingkou Street, Shapingba District, Chongqing 400030, China. dongxingyou66@126.com
Received: February 20, 2024 Revised: March 18, 2024 Accepted: April 16, 2024 Published online: June 16, 2024 Processing time: 105 Days and 9.5 Hours
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.
CASE SUMMARY
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.
CONCLUSION
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.
Core Tip: There are few reports of ectopic intrauterine devices (IUDs) in the anterior wall of urinary bladder. A 52-year-old woman was diagnosed an ectopic IUD in the anterior wall of urinary bladder via abdominal ultrasound and computed tomography examination. The IUD and oval calculus were successfully and completely removed using a laparoscope. The choice of surgical method is determined by comprehensively considering the position of the IUD in the urinary bladder, the size of the calculus, and the situation of intravesical inflammation.
