Giant calculus formation after migration of an intrauterine device into the urinary bladder

Dar, Latif A.; Khan, Parwez Sajad; Mushtaque, Majid

doi:10.1016/j.ijgo.2011.01.004

Cited by 4 publications

(2 citation statements)

References 1 publication

(1 reference statement)

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“…There have been many studies which reveal significant number of complications such as bleeding irregularities, infection, perforation, and migration into adjacent organs [ 1 , 2 ]. There are many reports stating the migration of the IUCD into the urinary bladder [ 3 – 6 ]. The uterus is normally in an anteverted and anteflexed position.…”

Section: Discussionmentioning

confidence: 99%

Secondary Vesical Calculus Resulting from Migration of an Intrauterine Contraceptive Device

Vagholkar¹,

Vagholkar²

2012

Case Reports in Obstetrics and Gynecology

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Intrauterine contraceptive device (IUCD) is the commonest form of contraception used in view of less systemic side effects. However, there are a multitude of local complications caused by it. Of all the local complications described, migration of the device into adjacent organs is the most morbid of all complications. A patient presenting with history of loss or disappearance of the intrauterine contraceptive device accompanied by urinary symptoms should raise the doubt of a migrated device with the formation of a secondary calculus. This prompts further radiological investigations and merits surgical intervention either endourologically or by open surgery depending upon the merits of the case. A case report elucidating this fact is presented.

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Section: Discussionmentioning

confidence: 99%

Secondary Vesical Calculus Resulting from Migration of an Intrauterine Contraceptive Device

Vagholkar¹,

Vagholkar²

2012

Case Reports in Obstetrics and Gynecology

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“…Infrequently, trauma may also introduce foreign bodies, such as bullets, into the bladder (6,8). Bladder calculus formation around intravesicular foreign bodies, particularly around migrating intrauterine devices, is well documented (1,10). Patients with bladder calculi are frequently asymptomatic but may present with urinary retention, renal colic, and recurrent urinary tract infections (7).…”

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confidence: 99%

An Unusual Foreign Body in the Urinary Bladder Mimicking a Parasitic Worm

et al. 2012

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We report an unusual case of a foreign body removed from the urinary bladder of a 63-year-old male which mimicked a parasitic worm. The foreign body was identified as an artificial fishing worm by morphological comparison to a similar commercially produced product and by infrared spectrum analysis. CASE REPORTA 63-year-old male presented to his urologist with complaints of sudden-onset urinary urgency, pelvic pain, and dysuria with decreased force of his urinary stream. He had had four suspected urinary tract infections in the past 12 months. Prior urine cultures had grown Escherichia coli, and his symptoms had improved following treatment with antibiotics. A physical examination, including genital and prostate examinations, revealed no abnormalities. A urine test strip was positive for blood, leukocytes, trace protein, and nitrite. An ultrasound postvoid residual procedure performed in the office demonstrated minimal residual urine but revealed calcifications within the bladder. His urine was sent for culture, and he was prescribed sulfamethoxazole and trimethoprim double strength and scheduled for an outpatient cystoscopy.At cystoscopy, a large calculus which filled the entire bladder was visualized. A computed tomography (CT) scan of the pelvis was performed to further characterize the calculus (Fig. 1). The CT scan demonstrated a large spiral-shaped tubular calcific structure, measuring up to 7.0 by 5.2 cm in overall dimensions, within the urinary bladder. Mild thickening of the bladder wall and a streak artifact due to left hip arthroplasty were noted.An open cystolithotomy was performed, and the extracted bladder calculus was submitted to the Metals Laboratory at the Mayo Clinic in Rochester, MN, for bladder stone analysis. Analysis of the 8.7 g of crystals removed from the specimen demonstrated a composition of 90% ammonium urate and 10% uric acid. During processing, the core of the calculus was noted to consist of two soft, gelatinous tubular structures resembling a worm. Therefore, the specimen was transferred to the Parasitology Laboratory at the Mayo Clinic in Rochester, MN, for further identification. Upon receipt, the specimen was noted to be yellow-green to black and cylindrical and to have annular circumferential ridges. It had previously been bisected; the reconstructed object measured approximately 16 cm in total length by 1.3 cm in greatest width.On cut sectioning, the specimen revealed a gelatinous cut surface from which a minute amount of clear fluid could be expressed. Microscopic examination of touch preparations obtained from the cut surface and the expressed fluid revealed occasional sloughed urothelial cells and numerous polymorphic bacteria and yeasts. No helminth eggs were detected.On longitudinal sectioning, there was an apparent absence of grossly discernible internal structures. This finding, in addition to the lack of expressed eggs and the uniform-appearing gelatinous cut surface, raised suspicion that the specimen was a nonorganic foreign body. Fortuitously present in the labora...

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Transurethral Use of a Nephroscope Significantly Aids in the Surgical Management of an Intrauterine Device Eroding Into the Bladder

Scovell

Chan

Smith³

2014

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Giant calculus formation after migration of an intrauterine device into the urinary bladder

Cited by 4 publications

References 1 publication

Secondary Vesical Calculus Resulting from Migration of an Intrauterine Contraceptive Device

Secondary Vesical Calculus Resulting from Migration of an Intrauterine Contraceptive Device

An Unusual Foreign Body in the Urinary Bladder Mimicking a Parasitic Worm

Transurethral Use of a Nephroscope Significantly Aids in the Surgical Management of an Intrauterine Device Eroding Into the Bladder

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