Hydronephrosis Due to Intraureteral Migration of Missed Intrauterine Device
Migration of intrauterine devices (IUDs) to the ureter causing ureteral obstruction is an extremely rare event. A 45-year-old female patient was admitted to our hospital with a complaint of pain in the right flank and inferior right quadrant of the abdomen. On genitourinary system ultrasonography, g...
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Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53820 |
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creator | Karkin, Kadir Vuruşkan, Ediz Aydamirov, Mubariz Kaplan, Eyüp Aksay, Bugra Gürlen, Güçlü |
description | Migration of intrauterine devices (IUDs) to the ureter causing ureteral obstruction is an extremely rare event. A 45-year-old female patient was admitted to our hospital with a complaint of pain in the right flank and inferior right quadrant of the abdomen. On genitourinary system ultrasonography, grade 3 hydronephrosis was found in the right kidney. On the abdominopelvic radiography, there was an appearance consistent with two IUDs, one in the region consistent with the course of the right distal ureter and the other in the usual localisation. The first IUD was thought to have spontaneously detached from the uterus, so a second IUD was implanted. A right-sided extravesical ureteroneocystostomy (Lich-Gregoir) operation was performed. The operation was terminated with the placement of a 4.8 French, 26 cm double-J stent in the ureter. The patient was followed up in our hospital for 26 months and she was asymptomatic during follow-up, hydronephrosis was resolved completely, and no complications were encountered during follow-up clinical and ultrasonography examinations. |
doi_str_mv | 10.7759/cureus.53820 |
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A 45-year-old female patient was admitted to our hospital with a complaint of pain in the right flank and inferior right quadrant of the abdomen. On genitourinary system ultrasonography, grade 3 hydronephrosis was found in the right kidney. On the abdominopelvic radiography, there was an appearance consistent with two IUDs, one in the region consistent with the course of the right distal ureter and the other in the usual localisation. The first IUD was thought to have spontaneously detached from the uterus, so a second IUD was implanted. A right-sided extravesical ureteroneocystostomy (Lich-Gregoir) operation was performed. The operation was terminated with the placement of a 4.8 French, 26 cm double-J stent in the ureter. The patient was followed up in our hospital for 26 months and she was asymptomatic during follow-up, hydronephrosis was resolved completely, and no complications were encountered during follow-up clinical and ultrasonography examinations.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.53820</identifier><identifier>PMID: 38465132</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Birth control ; Bladder ; Endoscopy ; Foreign bodies ; Gynecology ; Hydronephrosis ; Intrauterine devices ; IUD ; Localization ; Patients ; Surgery ; Tomography ; Ultrasonic imaging ; Urology ; Uterus</subject><ispartof>Curēus (Palo Alto, CA), 2024-02, Vol.16 (2), p.e53820</ispartof><rights>Copyright © 2024, Karkin et al.</rights><rights>Copyright © 2024, Karkin et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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A 45-year-old female patient was admitted to our hospital with a complaint of pain in the right flank and inferior right quadrant of the abdomen. On genitourinary system ultrasonography, grade 3 hydronephrosis was found in the right kidney. On the abdominopelvic radiography, there was an appearance consistent with two IUDs, one in the region consistent with the course of the right distal ureter and the other in the usual localisation. The first IUD was thought to have spontaneously detached from the uterus, so a second IUD was implanted. A right-sided extravesical ureteroneocystostomy (Lich-Gregoir) operation was performed. The operation was terminated with the placement of a 4.8 French, 26 cm double-J stent in the ureter. The patient was followed up in our hospital for 26 months and she was asymptomatic during follow-up, hydronephrosis was resolved completely, and no complications were encountered during follow-up clinical and ultrasonography examinations.</description><subject>Abdomen</subject><subject>Birth control</subject><subject>Bladder</subject><subject>Endoscopy</subject><subject>Foreign bodies</subject><subject>Gynecology</subject><subject>Hydronephrosis</subject><subject>Intrauterine devices</subject><subject>IUD</subject><subject>Localization</subject><subject>Patients</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><subject>Urology</subject><subject>Uterus</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpNkEFLAzEQRoMottTePMuCV7dmkk02e5S22mLFi55Dkk10S7upya7Qf2-0VTzNDPP4hnkIXQKelCWrbk0fbB8njAqCT9CQABe5AFGc_usHaBzjGmMMuCS4xOdoQEXBGVAyRI-LfR18a3fvwccmZrPeZp3Plm0XVMrubFCb7Kl5C6prfJt5l4YYbX0k0r5pbTazn42xF-jMqU2042Mdodf7-ct0ka-eH5bTu1VuCECXc16x2lRcVAIzo4XVBGvOKWhgIJiqXWGKUhnHHMOWVJoSorShjtYcBHA6QteH3F3wH72NnVz7PrTppKQ4fUgFA5aomwNl0mcxWCd3odmqsJeA5bc8eZAnf-Ql_OoY2uutrf_gX1X0C9tNaxI</recordid><startdate>20240208</startdate><enddate>20240208</enddate><creator>Karkin, Kadir</creator><creator>Vuruşkan, Ediz</creator><creator>Aydamirov, Mubariz</creator><creator>Kaplan, Eyüp</creator><creator>Aksay, Bugra</creator><creator>Gürlen, Güçlü</creator><general>Cureus Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20240208</creationdate><title>Hydronephrosis Due to Intraureteral Migration of Missed Intrauterine Device</title><author>Karkin, Kadir ; 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A 45-year-old female patient was admitted to our hospital with a complaint of pain in the right flank and inferior right quadrant of the abdomen. On genitourinary system ultrasonography, grade 3 hydronephrosis was found in the right kidney. On the abdominopelvic radiography, there was an appearance consistent with two IUDs, one in the region consistent with the course of the right distal ureter and the other in the usual localisation. The first IUD was thought to have spontaneously detached from the uterus, so a second IUD was implanted. A right-sided extravesical ureteroneocystostomy (Lich-Gregoir) operation was performed. The operation was terminated with the placement of a 4.8 French, 26 cm double-J stent in the ureter. 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subjects | Abdomen Birth control Bladder Endoscopy Foreign bodies Gynecology Hydronephrosis Intrauterine devices IUD Localization Patients Surgery Tomography Ultrasonic imaging Urology Uterus |
title | Hydronephrosis Due to Intraureteral Migration of Missed Intrauterine Device |
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