Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery (original) (raw)
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Migration of an intrauterine device into the bladder: a rare case
Archives of Gynecology and Obstetrics, 2008
Introduction Intrauterine device (IUD) application has been used for over 30 years and is a widely accepted contraception method among women because of its lowcomplication rates. The use of intrauterine devices may cause complications but migration of the IUD into an adjacent organ is rarely encountered. Case In the present report, we present a 26-year-old patient to whom IUD had been applied 2 years ago and whose examination performed due to pain and urinary complaints revealed migration of the uterine device into the bladder. Conclusion Patients with pelvic pain and chronic irritative urinary symptoms whose vaginal examination and ultrasonography reveal a dislocated IUD should be carefully examined for the migration of the IUD into the bladder. In order to avoid this rare complication, patient should be evaluated physically and ultrasonographically for uterine position, thinness of the uterine wall and inXammatory disease before the insertion. The patient should be evaluated with sonography immediately after insertion and periodically.
Recent Advances in Clinical Trials, 2023
The intrauterine device (IUD) is an effective and widespread contraceptive method. Its transuterine migration into the pelvic organs or the digestive tract is a rare and sometimes serious accident. We report the case of a 35-year-old patient who presented with transuterine migration of an intrauterine device placed 2 years earlier. Imaging confirmed migration and suspected the digestive tract localization of the IUD. With laparoscopic approach the intra-cecal localization was precise and the treatment made with good postoperative course. Through this observation we emphasize the diagnostic and therapeutic role of laparoscopic approach in the management of this contraceptive accident.
Calculus Formation in Bladder from Migrated Intrauterine Devices
Jurnal Kedokteran Brawijaya
Migration of the intrauterine device (IUD) into the bladder has been a rare case. There were reported 31 cases of IUD migration into the bladder until 2006. Although IUD migration is asymptomatic, it should be removed to prevent complications such as pelvic abscess, bladder or intestinal rupture, and adhesion. A 52-year-old woman came to the urology clinic with pyuria since the previous 3 months. She had a history of IUD insertion in 1982; and two months later, she got pregnant. Since 2015, she has suffered from dysuria but has never been treated and has worsened in the past 3 months. On physical examination, tenderness was found in the suprapubic region. The results of urinalysis showed pyuria and hematuria. The ultrasonography findings, there were large bladder stones. An abdominal x-ray revealed the presence of a bladder stone with the IUD tail. Vesicolithotomy was performed and the IUD was found attached to an 11x7 cm bladder stone. The patient had a good postoperative condition...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Globally, 14% of reproductive aged women use intrauterine contraception. The five intrauterine contraceptive devices (IUCDs) currently approved are chemically active and continually elute either copper or levonorgestrel. Uterine perforation is most serious and rare complication which can be acute or chronic in nature. Although uncommon, uterine embedment and perforation can occur. We report case of transmigration of intrauterine contraceptive device into the urinary bladder wall perforating the uterine wall in 25-year-old gravid female. She was subjected to ultrasound abdomen and pelvis which unveiled the diagnosis of migrated copper-T. Under spinal anaesthesia, laparotomy was done and IUCD was removed.
Intravesical migration of an intrauterine device
Urology journal
The intrauterine contraceptive device (IUCD) has been plagued by many complications, including uterine perforation, septic abortion, pelvic abscess, ectopic pregnancy, and migration into adjacent organs.[1, 2, 3, 4, 5 and 6] Uterine perforation is one of the least common, but most ...
Endoscopic Removal of an Intrauterine Device in the Left Distal Ureter
Journal of Endourology Case Reports, 2020
Background: Intrauterine device (IUD) migration to the ureter is rare. Symptoms can vary, but often mimic renal colic. Radiographic imaging may aid the diagnosis of a foreign body in the ureter. Reports on endoscopic managements of a migrated IUD are not well described. Case Presentation: We present a 36-year-old woman with a history of IUD insertion. Her symptoms included hematuria, dysuria, and suprapubic/abdominal pressure. After the removal of her IUD by her gynecologist, her hematuria eventually stopped, but she presented again with persistent pain. CT revealed a radiopaque foreign body in the distal left ureter protruding into the bladder. A careful resection with a resectoscope uncovered a long cylindrical shaped foreign body, suspicious of a broken piece of the IUD. Conclusion: Although not always feasible and long-term results remain to be determined, endoscopic management is a safe and effective method of identifying and removing a retained IUD in the ureter. When evaluating a woman with abdominal pain who has an indwelling IUD, a spontaneous migration of the IUD should be considered in the differential diagnosis.