[Bladder lithiasis secondary to intrauterine device migration. Case report].
OBJECTIVE
To report one clinical case of bladder lithiasis secondary to the migration of an intrauterine device, its symptoms, diagnostic tests employed and treatment.


RESULTS
30-year-old female patient who presented lower urinary tract irritative symptoms. One year before she underwent insertion of an intrauterine device (copper T) after endometrial curettage for pregnancy interruption. She received treatment for infection cystitis over two years, with various antibiotic cycles. The persistence of symptoms led her to the urology clinics, and a 5 x 3 cm intravesical lithiasis with a copper T inside was detected by ultrasound and pelvic anterior-posterior x-ray Suprapubic cystolithotomy was performed with a good outcome and disappearance of the symptoms.


CONCLUSIONS
The migration of an intrauterine device to the bladder is an unfrequent cause of bladder lithiasis secondary to foreign body. Nevertheless, we must consider this possibility in front of chronic lower urinary tract irritative symptoms in every female using this birth control method.
Rodríguez Collar
Tomás Lázaro
TL
Servicio de Urología, Hospital Universitario Dr. Carlos J. Finlay, La Habana, Cuba. bhfinlay@infomed.sld.cu
Gil del Valle
Yamel
Y
Valdés Estévez
Basily
B
Barquín Carmona
Víctor Osvaldo
VO
García Monzón
José Antonio
JA
D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D001744:Urinary Bladder Calculi / Q000209:etiology*