scholarly journals Intrauterine contraceptive device migration to the urinary bladder

Author(s):  
Urmila G. Gavali ◽  
Mayuri D. Pawar ◽  
Gautam S. Aher ◽  
Suhas S. Shinde

Intravesical migration represent as uncommon complication of intrauterine device insertion. We present a case of an IUD that migrated to the urinary bladder and impacted in urinary bladder wall, causing significant urinary symptoms. A 44 years old woman presented with menorrhagia, lower abdominal pain and urinary symptoms since past 1 year. She reported an IUD insertion 10 years back. Imaging detected the presence of IUD in the urinary bladder wall with large fibroid in uterus. Under anaesthesia, total abdominal hysterectomy with bilateral salphingoophorectomy is performed and IUD was removed out of the bladder without any complications. In her follow-up evaluation after 2 week, she had no urinary symptoms. A regular follow-up of IUD for visible thread would help in earlier detection of misplaced IUD and prevent the complications such as intravesical migration.

1962 ◽  
Vol 39 (1) ◽  
pp. 1-12 ◽  
Author(s):  
R. Mićić ◽  
M. Kičić ◽  
S. Adanja

ABSTRACT A case of phaeochromocytoma localized in the urinary bladder wall above the right ureter in a 19 years old male is described. The patient had a sustained arterial hypertension between 170/120 and 260/170, without haematuria, with regular headache and palpitations immediately after urination. Catecholamines in urine 409 and 340 micrograms per day. A partial resection of the urinary bladder wall was performed with extirpation of a tumour weighing 40 g. Size of the tumour 80 × 60 × 60 mm. The tumour contained 1.5 mg adrenaline and 0.03 mg noradrenaline per g of tissue. Postoperatively blood pressure 140/90, catecholamines in the urine normal, and the patient made an uneventful recovery. The last follow-up ten months after operation. A short review of previously published cases is given.


2013 ◽  
Vol 25 (1) ◽  
pp. 46-48
Author(s):  
R Sultana ◽  
N Haque

Vesicouterine fistula is an uncommon urogenital fistula. The incidence is on the rise because of increasing incidence of Caesarean sections. Cyclical Haematuria or Menouria is an important clinical feature of this fistula which may or may not be associated with urinary incontinence depending on the location of the fistulous tract. We present a case report of Post caesarean section Vesicouterine fistula following 2 Caesarean sections. This was successfully managed by laparotomy with repair of fistulous tract in bladder wall and Total Abdominal Hysterectomy for multiple Fibroid uterus done. Menouria is a rare event in Gynecology and one should always keep this possibility in mind when there is cyclical haematuria. A 42 year old Bangladeshi woman was hospitalized with complaints of menorrhagia, lower abdominal pain for last 8 years, cyclical hematuria for last 20 years. She was mildly anemic, haemodynamically stable and regularly menstruating women. The primary Ultrasound scans suggested multiple fibroid with cystic ovary in left side. Cystoscopy was done and findings are a fistulous opening in the bladder measuring around 7mm in size. It was supratrigonal in position. The patient had no history of Endometriosis, Pelvic irradiation therapy, Inflammatory disease, Trauma or Malignancy. Initially there was dilemma in her diagnosis and the patient was diagnosed as a case of bladder Endometriosis besides fibroid uterus. So surgery was planned and Total Abdominal Hysterectomy & bilateral salphingo-oophorectomy done. There was a fistula about 3cm × 2cm in the lower part of the body of uterus connecting with the base of Bladder. Fistula repaired after dissection, patient follow up done and catheter removed after 14 days without any complications. Vesicouterine fistula can be prevented if care is taken to separate the bladder from the uterus during repeat Caesarean sections. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16072 Medicine Today 2013 Vol.25(1): 46-48


2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110150
Author(s):  
Rui Qu ◽  
Luo Yang ◽  
Yi Dai

Migration and embedding of an intrauterine contraceptive device (IUCD) in the urinary bladder wall is rare. We present such a case of a 30-year-old woman with complaints of persistent lower urinary tract symptoms and a history of IUCD placement 8 years earlier. The IUCD was successfully removed with cystoscopy alone. The patient recovered well and had her second baby after the surgery without complaints of new urinary symptoms.


2019 ◽  
Vol 40 (5) ◽  
pp. 718-720
Author(s):  
Goda Jievaltienė ◽  
Dominyka Surgontaitė ◽  
Rosita Aniulienė ◽  
Donatas Venskutonis

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ali Naboush ◽  
Ali Abou Yassine ◽  
Mohamad Yasmin ◽  
Neville Mobarakai

Background. Community-associated MRSA (CA-MRSA) strains have emerged as a substantial cause of infection in individuals without exposure to the healthcare system. Prostatic abscess is an uncommon disease. To date, there are only 6 published reports of a prostatic abscess secondary to CA-MRSA.Case Description. A 52-year-old diabetic Caucasian presented to the emergency department with severe lower abdominal pain of few hours duration, urinary frequency, and dribbling over the last 3 weeks. Physical examination was remarkable for an enlarged nontender prostate. A urine analysis showed pyuria while urine cultures grew CA-MRSA. Computed tomography of the abdomen and pelvis showed multiple prostate abscesses and a thickened urinary bladder wall. A TURP was performed by the urology team and pathology showed severe acute and chronic prostatitis with abscess formation and necrotic tissue. Our treatment regimen included IV vancomycin followed by oral trimethoprim/sulfamethoxazole and rifampin. Eradication of CA-MRSA was confirmed by follow-up cultures 2 months following discharge.Conclusion. This case illustrates the successful identification, diagnosis, and prompt treatment of a prostatic abscess secondary to CA-MRSA in a diabetic patient without recent hospitalization. Early treatment with antibiotics and transurethral resection of the prostate abscess led to a shortened hospital stay and decreased morbidity.


2020 ◽  
Vol 22 (2) ◽  
pp. 188-193
Author(s):  
Mohammad Khairuzzaman ◽  
Muhammad Humayun Kabir ◽  
Tanvir Ahmed ◽  
Syed Alfasani ◽  
Md Shariful Islam ◽  
...  

Aim: The present study was undertaken with the aim to standardize ultrasound measured urinary bladder wall thickness (UMUBWT) as an additional routine noninvasive test to assess the bladder outflow obstruction (BOO) and to monitor the therapeutic effects of BOO in follow-up after surgical correction of obstruction. Methods: This is an interventional study (pretest-posttest type of clinical trial) conducted between December 2012 to May 2015 where sample size was 55 and sampling technique was purposive. In BOO patient transabdominal sonography was performed using a 7.5 MHz. probe. The thickness of the anterior bladder wall at the midline was measured in both preoperative and postoperative period ( three months after operation) at 3 points approximately 1 cm apart and the average value was recorded. Results: In this study age range was 21-73 years with mean±SD of age was 48.76±15.08 years. In BOO patient preoperative UMUBWT was 0.51 ± 0.16 cm and which reduced to 0.26 ± 0.05 cm three months after surgical correction of obstruction. Conclusion: UMUBWT is a noninvasive, cheap and easily available additional diagnostic tool for detecting BOO as well as it can measure the therapeutic effects in postoperative period. Bangladesh Journal of Urology, Vol. 22, No. 2, July 2019 p.188-193


1970 ◽  
Vol 2 (3) ◽  
pp. 195-202 ◽  
Author(s):  
A. Kelâmi ◽  
A. Lüdtke-Handjery ◽  
G. Korb ◽  
J. Rolle ◽  
J. Schnell ◽  
...  

2021 ◽  
pp. 205141582098766
Author(s):  
Harshit Garg ◽  
Brusabhanu Nayak ◽  
Tripti Nakra ◽  
Prabhjot Singh ◽  
Seema Kaushal

Mullerian neoplasms of the urinary system are rare but complex tumor-like lesions. The identification of the Mullerian neoplasm is crucial for patient management owing to its etiology, natural history, and prognosis. We present a case of a 42-year-old female with a history of three lower segment cesarean sections presenting with complaints of dysmenorrhea and suprapubic pain with no history of hematuria or any urinary symptoms. Magnetic resonance imaging revealed a 2 cm×2 cm exophytic lesion suspicious of being either a bladder lesion or an endometrial lesion infiltrating the urinary bladder. Cystoscopy and transurethral biopsy of this suspicious bladder tumor revealed a malignant tumor with papillary and tubulocystic architecture. Based on the overall histomorphological and immunohistochemical features, a diagnosis of clear cell carcinoma of Mullerian origin was made, and the patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and partial cystectomy. The patient was kept on regular surveillance and showed no signs of recurrence at the one-year follow-up. Clear cell carcinoma of the bladder of Mullerian origin is a rare entity and is established on histopathology. Prompt diagnosis and a multidisciplinary approach are indispensable for management. Level of evidence: Level 4.


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