Resume
La migration intravésicale du dispositif intra-utérin (DIU) par perforation utérine est une complication rare. Dans cette étude rétrospective monocentrique, nous présentons notre expérience de 5 cas colligés au sein de notre établissement entre 2004 et 2009. L’âge moyen de nos patientes est de 39 ans (32–48 ans). La symptomatologie clinique révélatrice était dominée par le syndrome irritatif vésical. Le diagnostic a été évoqué sur le couple écho/AUSP, puis confirmé par la cystoscopie. Le traitement a consisté en une lithotritie balistique du calcul avec extraction du stérilet par voie endoscopique chez 4 patientes et extraction chirurgicale chez une seule.
Abstract
Intravesical migration of intrauterine device (IUD) through a uterine perforation is a rare complication. In this retrospective study, we present our experience of 5 cases diagnosed in our institution between 2004 and 2009. The average age of our patients was 39 years (32–48 years). The clinical symptomatology was dominated by irritative bladder syndrome. The diagnosis was suggested on the plain abdominal X-ray and on ultrasound and, was confirmed by cystoscopy. The treatment consisted of ballistic lithotripsy of lithiasis and extraction of the IUD endoscopically in 4 patients and surgical removal in one.
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Barki, A., Ait Sakel, A., Benazzouz, M.H. et al. Migration Intravésicale du Dispositif Intra-Utérin à Propos de Cinq Cas. Afr J Urol 16, 60–64 (2010). https://doi.org/10.1007/s12301-010-0014-7
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DOI: https://doi.org/10.1007/s12301-010-0014-7