Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery (original) (raw)

A 31-year-old full term (38 weeks) pregnant female G3P3L2 (Gravida 3 Para 3 Live 2) presented in labour. All blood parameters and results of urinalysis were within normal limits. Ultrasonography (USG) scans were done multiple times during pregnancy even as recently as four days before delivery but none of them revealed any abnormality. The patient remained asymptomatic throughout pregnancy. She was taken for an LSCS in view of history of the same. The baby was delivered safely and placenta was removed. Dense adhesions were noticed between the posterior wall of bladder and uterus. Additionally, a foreign body could be palpated inside the bladder. Adhesiolysis was performed and a rent was noticed in the uterine wall and the posterior wall of bladder through which a limb of Copper T was seen [Table/Fig-1]. The Intrauterine Device (IUD) was removed in its entirety, margins of the bladder were refashioned, the rent was closed and a Suprapubic Catheter (SPC) and Perurethral Catheter (PUC) were inserted [Table/Fig-2]. Upon enquiry, she revealed to have the IUD inserted four years ago but presumed that it had subsequently fallen out.