International Journal of Clinical Urology

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Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case

Received: 22 June 2020    Accepted: 17 July 2020    Published: 23 July 2020
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Abstract

Intra uterine device (IUD) migration is a rare complication of female contraception. The mechanism for this migration is still poorly understood. Its association with a bilharzian bladder is exceptional. Urinary schistosomiasis is an endemic disease in our regions. A real public health problem, it affects poor populations of farmers and fishermen. And also women when they do their household chores in infested water. Through an observation, we analyze the clinical and therapeutic aspects of the intra vesical migration of an IUD on a bilharzian bladder. The diagnosis was made on a 31 years old patient who had an IUD 1 year 3 months ago. She had presented some urinary disorders such as dysuria, micturition burns and intermittent hematuria, evolving for 3 months. A urine pellet had highlighted Schistosoma haematobium eggs. After medical treatment and sterilization of the urine, the symptoms remained. A cystoscopy was performed which found the IUD in the bladder. There followed a surgical exploration by an under umbilical laparotomy for the removal of the IUD. Migration of the IUD into the bladder and bilharzian cystitis are two distincts nosologies afections but similar clinical manifestations. In both cases, a good clinical and paraclinical analysis makes it possible to make their diagnosis and ensure adequate management.

DOI 10.11648/j.ijcu.20200402.14
Published in International Journal of Clinical Urology (Volume 4, Issue 2, December 2020)
Page(s) 55-58
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intra Uterine Device, Bilharzia Urinaria, Trans-uterine Migration

References
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[2] Arslan A, Kanat-Pektas M, Yesilyurt H, Bilge U. Colon penetration by a copper intrauterine device: a case report with literature review. Arch Gynecol Obstet. mars 2009; 279 (3): 395-7.
[3] Gentilini M. Médecine tropicale. Médecine. Sciences Flammarion; 1993. 221-235 p.
[4] Poggensee G, Feldmeier H, Krantz I. Schistosomiasis of the Female Genital Tract: Public Health Aspects. Parasitol Today [Internet]. 1 sept 1999 [cité 31 mai 2020]; 15 (9): 378-81. Disponible sur: http://www.sciencedirect.com/science/article/pii/S0169475899014970.
[5] Thonneau P, Goulard H, Goyaux N. Risk factors for intrauterine device failure: a review. Contraception [Internet]. 1 juill 2001 [cité 1 juin 2020]; 64 (1): 33-7. Disponible sur: https://www.contraceptionjournal.org/article/S0010-7824(01)00215-3/abstract.
[6] Feghali J, Bourgi A, Armache K. Migration intravésicale d’un dispositif intra-utérin Cas clinique et revue de la littérature. J Med Liban. déc 2016; 64 (4): 238-41.
[7] Nohuz E, Battista R, Tamburro S, Leonenko M, Bayeh S, Varga J, et al. Un stérilet qui fait de plus en plus mal… où il ne suffit pas d’en voir les fils pour exclure une malposition! /data/revues/12979589/v42i4/S129795891100302X/ [Internet]. 10 avr 2014 [cité 1 juin 2020]; Disponible sur: https://www.em-consulte.com/en/article/887231#N10108.
[8] Bacha K, Ben Amna M, Ben Hassine L, Ghaddab S, Ayed M. Dispositif intra-utérin migré dans la vessie. Prog Urol. 2001; (11): 1289-91.
[9] El Kettani NE-C, Dafiri R, Imagerie de la migration des dispositifs intra-utérins. Feuill Radiol. 2007; 47 (3): 159–166.
[10] Hasanain FH. The misplaced IUD. Int J Gynecol Obstet [Internet]. 2002 [cité 1 juin 2020]; 78 (3): 251-2. Disponible sur: https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1016/S0020-7292%2802%2900152-2.
[11] Deshmukh S, Ghanouni P, Jeffrey RB. Early sonographic diagnosis of intrauterine device migration to the adnexa. J Clin Ultrasound JCU. sept 2009; 37 (7): 414-6.
[12] Koumare MAK, Soumare MS, Toure MAA, Ouattara MK, Dolo MA. prise en charge chirurgicale des sequelles de la bilharziose urinaire dans le service d’urologie du CHU DU Point «G» [Internet]. Université de Bamako; 2005 [cité 2 juin 2020]. Disponible sur: www.keneya.net › fmpos › theses › med› pdf PDF.
[13] Joual A, Querfani B, Taha A, EL Mejjad A, Frougui Y, Rabii R, et al. Intravesical migration of an intrauterine contraceptive device complicated by stones [Migration intravésicale d’un dispositif intra-utérin compliquée d’une lithiase]. 2004.
Author Information
  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Gynecology-obstetrics Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, University of Conakry, Conakry, Guinea

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    Mamadou Bissiriou Bah, Koutou Mahoï, Ibrahima Bah, Ricardo Lahoumbo Gnammi, Mamadou II Barry, et al. (2020). Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case. International Journal of Clinical Urology, 4(2), 55-58. https://doi.org/10.11648/j.ijcu.20200402.14

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    ACS Style

    Mamadou Bissiriou Bah; Koutou Mahoï; Ibrahima Bah; Ricardo Lahoumbo Gnammi; Mamadou II Barry, et al. Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case. Int. J. Clin. Urol. 2020, 4(2), 55-58. doi: 10.11648/j.ijcu.20200402.14

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    AMA Style

    Mamadou Bissiriou Bah, Koutou Mahoï, Ibrahima Bah, Ricardo Lahoumbo Gnammi, Mamadou II Barry, et al. Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case. Int J Clin Urol. 2020;4(2):55-58. doi: 10.11648/j.ijcu.20200402.14

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  • @article{10.11648/j.ijcu.20200402.14,
      author = {Mamadou Bissiriou Bah and Koutou Mahoï and Ibrahima Bah and Ricardo Lahoumbo Gnammi and Mamadou II Barry and Ibrahima Koussi Bah and Demba Cissé and Thierno Mamadou Oury Diallo and Mamadou Diao Bah and Daouda Kanté and Abdoulaye Bobo Diallo and Oumar Raphiou Bah},
      title = {Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case},
      journal = {International Journal of Clinical Urology},
      volume = {4},
      number = {2},
      pages = {55-58},
      doi = {10.11648/j.ijcu.20200402.14},
      url = {https://doi.org/10.11648/j.ijcu.20200402.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcu.20200402.14},
      abstract = {Intra uterine device (IUD) migration is a rare complication of female contraception. The mechanism for this migration is still poorly understood. Its association with a bilharzian bladder is exceptional. Urinary schistosomiasis is an endemic disease in our regions. A real public health problem, it affects poor populations of farmers and fishermen. And also women when they do their household chores in infested water. Through an observation, we analyze the clinical and therapeutic aspects of the intra vesical migration of an IUD on a bilharzian bladder. The diagnosis was made on a 31 years old patient who had an IUD 1 year 3 months ago. She had presented some urinary disorders such as dysuria, micturition burns and intermittent hematuria, evolving for 3 months. A urine pellet had highlighted Schistosoma haematobium eggs. After medical treatment and sterilization of the urine, the symptoms remained. A cystoscopy was performed which found the IUD in the bladder. There followed a surgical exploration by an under umbilical laparotomy for the removal of the IUD. Migration of the IUD into the bladder and bilharzian cystitis are two distincts nosologies afections but similar clinical manifestations. In both cases, a good clinical and paraclinical analysis makes it possible to make their diagnosis and ensure adequate management.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case
    AU  - Mamadou Bissiriou Bah
    AU  - Koutou Mahoï
    AU  - Ibrahima Bah
    AU  - Ricardo Lahoumbo Gnammi
    AU  - Mamadou II Barry
    AU  - Ibrahima Koussi Bah
    AU  - Demba Cissé
    AU  - Thierno Mamadou Oury Diallo
    AU  - Mamadou Diao Bah
    AU  - Daouda Kanté
    AU  - Abdoulaye Bobo Diallo
    AU  - Oumar Raphiou Bah
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    PY  - 2020
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    DO  - 10.11648/j.ijcu.20200402.14
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 55
    EP  - 58
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20200402.14
    AB  - Intra uterine device (IUD) migration is a rare complication of female contraception. The mechanism for this migration is still poorly understood. Its association with a bilharzian bladder is exceptional. Urinary schistosomiasis is an endemic disease in our regions. A real public health problem, it affects poor populations of farmers and fishermen. And also women when they do their household chores in infested water. Through an observation, we analyze the clinical and therapeutic aspects of the intra vesical migration of an IUD on a bilharzian bladder. The diagnosis was made on a 31 years old patient who had an IUD 1 year 3 months ago. She had presented some urinary disorders such as dysuria, micturition burns and intermittent hematuria, evolving for 3 months. A urine pellet had highlighted Schistosoma haematobium eggs. After medical treatment and sterilization of the urine, the symptoms remained. A cystoscopy was performed which found the IUD in the bladder. There followed a surgical exploration by an under umbilical laparotomy for the removal of the IUD. Migration of the IUD into the bladder and bilharzian cystitis are two distincts nosologies afections but similar clinical manifestations. In both cases, a good clinical and paraclinical analysis makes it possible to make their diagnosis and ensure adequate management.
    VL  - 4
    IS  - 2
    ER  - 

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