Limits...
An unusual case of recurrent urinary tract infection.

Kulshrestha N, Srivastava D, Ghatak T, Yadav MS, Samanta S - Indian J Nephrol (2015 Nov-Dec)

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology, KGMU, Lucknow, Uttar Pradesh, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

On specific inquiry, the patient gave a history of copper T insertion 1½ years ago, but had been unable to feel the thread for last 6 months... Computerized tomography scan confirmed the ultrasound finding [Figure 1]... Migrated IUCD have been reported to act as a nidus for the urinary bladder stone formation... The case reported had no malformations of the urinary tract; instead, there was the presence of copper T in the urinary bladder... The uterine wall was well-preserved indicating that the IUCD had not migrated into the bladder instead must have been mistakenly inserted via urethra instead of the vagina by an untrained healthcare provider... Our report stresses that proper training of healthcare providers should be made mandatory before permitting to provide such services... A periodic follow-up of the patients after insertion is also necessary... The patient must be trained to routinely check for the presence of Copper T thread in the vagina, failing which she must visit the healthcare provider... Insertion of IUCD must not be taken lightly as faulty placements not only exposes the patient to the risk of pregnancy but also affects her quality of life by acting as a nidus for infection... There are no conflicts of interest.

No MeSH data available.


Computer tomography scan of abdomen showing copper T in the urinary bladder
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4663788&req=5

Figure 1: Computer tomography scan of abdomen showing copper T in the urinary bladder

Mentions: A 29-year-old female presented with recurrent intermittent lower abdominal pain and burning micturition despite treatment for last 6 months. On examination, the patient was febrile, and had tachycardia. Urinalysis showed >50 pus cells/high power field, and culture showed growth of Escherichia coli, sensitive to quinolones. Abdominal ultrasound revealed a echogenic foreign body suggestive of copper T in the urinary bladder. On specific inquiry, the patient gave a history of copper T insertion 1½ years ago, but had been unable to feel the thread for last 6 months. Computerized tomography scan confirmed the ultrasound finding [Figure 1]. No perforation was seen in the uterine wall. Copper T was eventually removed with the help of cystoscopy. On follow-up for next 6 months, she remained free of any symptoms of UTI.


An unusual case of recurrent urinary tract infection.

Kulshrestha N, Srivastava D, Ghatak T, Yadav MS, Samanta S - Indian J Nephrol (2015 Nov-Dec)

Computer tomography scan of abdomen showing copper T in the urinary bladder
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663788&req=5

Figure 1: Computer tomography scan of abdomen showing copper T in the urinary bladder
Mentions: A 29-year-old female presented with recurrent intermittent lower abdominal pain and burning micturition despite treatment for last 6 months. On examination, the patient was febrile, and had tachycardia. Urinalysis showed >50 pus cells/high power field, and culture showed growth of Escherichia coli, sensitive to quinolones. Abdominal ultrasound revealed a echogenic foreign body suggestive of copper T in the urinary bladder. On specific inquiry, the patient gave a history of copper T insertion 1½ years ago, but had been unable to feel the thread for last 6 months. Computerized tomography scan confirmed the ultrasound finding [Figure 1]. No perforation was seen in the uterine wall. Copper T was eventually removed with the help of cystoscopy. On follow-up for next 6 months, she remained free of any symptoms of UTI.

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology, KGMU, Lucknow, Uttar Pradesh, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

On specific inquiry, the patient gave a history of copper T insertion 1½ years ago, but had been unable to feel the thread for last 6 months... Computerized tomography scan confirmed the ultrasound finding [Figure 1]... Migrated IUCD have been reported to act as a nidus for the urinary bladder stone formation... The case reported had no malformations of the urinary tract; instead, there was the presence of copper T in the urinary bladder... The uterine wall was well-preserved indicating that the IUCD had not migrated into the bladder instead must have been mistakenly inserted via urethra instead of the vagina by an untrained healthcare provider... Our report stresses that proper training of healthcare providers should be made mandatory before permitting to provide such services... A periodic follow-up of the patients after insertion is also necessary... The patient must be trained to routinely check for the presence of Copper T thread in the vagina, failing which she must visit the healthcare provider... Insertion of IUCD must not be taken lightly as faulty placements not only exposes the patient to the risk of pregnancy but also affects her quality of life by acting as a nidus for infection... There are no conflicts of interest.

No MeSH data available.