Intravesical migration of intrauterine contraceptive devices with stone formation

Aggarwal, Sandeep; Jindal, Rajinder Paul; Deep, Anupam

doi:10.4103/2249-4863.148147

Cited by 15 publications

(26 citation statements)

References 7 publications

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“…Mixed urinary incontinence, dysuria, haematuria, vaginal discharge and chronic lower abdominal pain may be present in case of bladder involvement [2,[4][5][6]. However, we found only two cases of vaginal IUD perforations with formed vesicovaginal fistula and vesicovaginal calculus.…”

Section: Discussioncontrasting

confidence: 41%

“…When the bladder is perforated, urinary infection facilitates stone formation. The patients presented with mixed urinary incontinence and recurrent UTIs which usually respond only temporarily to therapy, and a history of placed IUD must be examined by an experienced gynaecologist [4]. When IUD migration is suspected, imaging methods are necessary to determine the exact position of the IUD.…”

Section: Discussionmentioning

confidence: 99%

“…However, the transabdominal sonography was useful in detecting the bladder calculus. X-ray, computed tomography or magnetic resonance should be performed for IUD visualisation and its relation to the surrounding structures [4].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Belci¹,

Mihovili²,

Zori³

et al. 2017

OGIJ

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Submit Manuscript | http://medcraveonline.com Spontaneous expulsions are rare, but can occur in the first months of usage, especially when the IUD is inserted shortly after childbirth. Uterine perforation is an extremely rare complication with a rate of 0.4/1000 insertions [1]. Perforation can occur during the insertion of IUD so it is recommended to be performed by an experienced gynaecologist [2]. Due to IUD migration, 30% of uterine perforations are asymptomatic. Case ReportA 68-year-old female, gravida 3(1 missed abortion), para 2, postmenopausal for 14 years, who came to the gynaecology outpatient department, presented with pain in suprapubic region for a year. Because of frequent urinary tract infections and mixed urinary incontinence, during the course of a year she took propiverine hydrochloride 30 mcg and nitrofurantoin 50 mcg prescribed by a general practitioner. Her last gynaecological examination was 20 year ago. After the second birth in 1970, sutures were put on her vagina and cervix and she received a blood transfusion. She cited that she was put an IUD 40 years ago. So far she suffered from arterial hypertension, glucose intolerance and GERD.At this point vaginal examination was done-vagina was closed 2 cm proximal to the vaginal introitus and no cervix was visualised. Vaginal smear was taken for cytological analysis which was negative for intraepithelial neoplasia. There was no clear outline of the uterus and ovaries visible on transrectal ultrasonography. IUD was not visualised and there was no fluid in the Pouch of Douglas. Transabdominal ultrasound showed intravesical hyperechoic reflection 3.4 cm in diameter which could represent stone. Further pelvic and abdominal CT scan revealed hyperdense linear formation with dimensions of 2.9x 5.0 cm placed in the uterine isthmus and vagina that descends to the introitus of the vagina. Furthermore, round calcified formation with dimensions of 3.0x2.4 cm was revealed in the posterior bladder wall ( Figure 1). These two formations were in close contact.Laboratory parameters were within normal values. Urine culture demonstrated Proteus mirabilis infection so the patient was given cefuroxime intravenously for 7 days at the Department of Infectious Diseases. When the urine culture came sterile, the patient was examined by aurologist for the first time and cystoscopy was performed. The urological operation was planned based on uroendoscopy and ultrasound findings where the stem (calculus) was verified. IUD was not verified because the stem was completely obliterated by the IUD. The operation was performed AbstractIntrauterine contraceptive device (IUCD) is one of the most frequently used contraceptive methods worldwide. Spontaneous perforation of the uterus or vagina and IUD migration to the bladder is very rare. We present a case of 68-yearold female with vaginal perforation of IUCD and migration into the bladder which resulted in formation of bladder calculus.

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Section: Discussioncontrasting

confidence: 41%

Section: Discussionmentioning

confidence: 99%

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Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Belci¹,

Mihovili²,

Zori³

et al. 2017

OGIJ

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“…IUCDs are the most popular method of reversible contraception in India because of their high efficacy for fertility regulation, low-risk, low-cost, and lack of required maintenance 34). They are ideal for lactating women because they do not affect the quality and composition of breast milk 4).…”

Section: Discussionmentioning

confidence: 99%

“…Calculus formation occurs in long-standing cases 5). Dietrich reported eight cases of intravesical IUCD migration in 1992 with development of urinary symptoms as early as 3 months to as late as 5 years after insertion 36). The index patient was also having similar urinary complaints for three months prior to her admittance.…”

Section: Discussionmentioning

confidence: 99%

Intravesical Migration of an Intrauterine Contraceptive Device with Secondary Calculus Formation

Sharma¹,

Andankar²,

Pathak³

2017

Korean J Fam Med

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Intrauterine contraceptive devices (IUCDs) are a common form of reversible contraception owing to fewer systemic side effects and low cost, especially in a developing country like India. However, IUCDs are not without complications. Migration of a device into adjacent organs is the most morbid of all the documented complications. A patient who presents with a history that suggests loss or disappearance of an IUCD thread associated with urinary symptoms should raise suspicions that a device may have migrated into the bladder. Physicians should also be aware of possible secondary vesical calculus formation. Further radiological investigations and appropriate management are warranted. We present a case report describing the migration of an IUCD into the bladder with secondary calculus formation.

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Intraperitoneal migration of an intrauterine device (IUD): A case report

Benaguida

Kiram

Telmoudi

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction The IUD is one of the most widely used reversible, long-term contraceptive methods in the world. About 80% of IUDs are found in the peritoneal cavity after uterine perforation. Case report A 27-year-old female patient presented with chronic pelvic pain with minimal metrorrhagia for 8 months on IUD. On examination, there was no IUD thread. Pelvic ultrasound showed a hypoechoic, heterogeneous, poorly limited formation measuring 3 × 2.68 cm. Abdominal-pelvic CT scan showed hyperdense supravesical material surrounded by a hypo-dense, well-limited collection measuring 26 × 25 mm. Laparoscopy showed an anterior peritoneal collection above the bladder containing the IUD, a uterus, adnexa, and a bladder without abnormality. The IUD was removed after incision of the collection and aspiration of the pus. Discussion The IUD is one of the most widely used long-term reversible contraceptive methods in the world. But like any foreign body, it can present complications, notably migration after uterine perforation, which remains rare, and even rarer peritoneal localization. The clinical diagnosis is not always obvious, and additional examinations are necessary to locate the device, including endovaginal ultrasound, a CT scan or magnetic resonance imaging. WHO recommends surgical removal of the migrated IUD by minimally invasive methods, including hysteroscopy, cystoscopy, colonoscopy, or laparoscopy, depending on the location of the IUD. Conclusion IUDs are effective contraceptive measures, and the majority of patients with uterine perforation by IUD migration are asymptomatic. Diagnosis is based on a thorough gynecologic analysis and appropriate radiologic imaging.

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Intravesical migration of intrauterine contraceptive devices with stone formation

Cited by 15 publications

References 7 publications

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Intravesical Migration of an Intrauterine Contraceptive Device with Secondary Calculus Formation

Intraperitoneal migration of an intrauterine device (IUD): A case report

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