Untitled

Abstract

Introduction: Intrauterine device (IUD) is accepted and used as an effective contraception globally. Malposition of intrauterine device into the bladder with stone formation was very rare complication. In this study, we report a case in which IUD malposition had caused bladder stone formation in a female patient Case presentation: Patient was a female, 50 years old, complained of painful urination approximately 1 year before admission and was diagnosed with recurrent urinary tract infection (UTI). Patient also had history of IUD insertion for ten years. Instead of IUD insertion in her uterine, patient had history of 2 times birth delivery. Imaging examination was performed on April 2018, in Hasan Sadikin Hospital, Bandung and found IUD in pelvic area. In ultrasound imaging we found a hyperechoic with acoustic shadow that resembles an IUD. Endoscopic management was performed by cystoscopy instrument. We found a half of IUD in the bladder with encrustation and calcification in the device. We performed lithotripsy with pneumatic lithotripter to disintegrate the encrustation. An IUD extracted from the bladder cavity by cystoscopy grasper. Postoperative evaluation we found no complications and send home the patient 3 days after the procedure. Conclusion: IUD malposition can be found to bladder cavity. Recurrent UTI needs radiological investigation to provide for any abnormality in urinary tract. IUD extraction could be performed by transvesical approach if the device malposeed to the bladder.