Migration of an intrauterine contraceptive device into the bladder complicated by stone formation an exceptional complication: case report and literature review

We report a rare and unusual case of intravesical migration of an intrauterine device with stone formation. The intrauterine device (IUD) is the most common method of reversible contraception in women. However, its insertion is not without risk, it can cause early or late complications. IUD can perf...

Full description

Saved in:
Bibliographic Details
Published in:Contraception and reproductive medicine 2024-08, Vol.9 (1), p.42-5
Main Authors: Houmaid, Hanane, Harou, Karam, Fakhir, Bouchra, Bassir, Ahlam, Boukhanni, Lahcen, Aboulfalah, Abderrahim, Asmouki, Hamid, Soummani, Abderraouf
Format: Article
Language:English
Subjects:
Abdomen
Asymptomatic
Birth control
Bladder
Calcification
Case Report
Case reports
Cesarean section
Contraindications
Cystoscopy
Gynecology
Hematuria
Intrauterine devices
Intravesicale migration
IUCD
IUD
Literature reviews
Pain
Pregnancy
Qualitative research
Radiography
Ultrasonic imaging
Uterus
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report a rare and unusual case of intravesical migration of an intrauterine device with stone formation. The intrauterine device (IUD) is the most common method of reversible contraception in women. However, its insertion is not without risk, it can cause early or late complications. IUD can perforate the uterus wall and migrate into adjacent structures. A 35 year-old female 5 gravid, 4 para has been benefited from intrauterine contraceptive device (IUCD) 5 years ago, she was presented to gynecological consultation for chronic pelvic pain with urinary symptoms. There was history of a good IUD insertion 5 years ago, considered expelled after one month of its pose. Physical examination was normal, but a pelvic ultrasound and a plain abdominal radiography allowed the detection of an IUD outside the uterine cavity, but inside bladder. A diagnostic and therapeutic cystoscopy was performed, and the IUD with calculus was successfully removed. There were no postoperative complications. This case is reported to highlight and to reiterate the need to think about one of the rare complication of IUD insertion, which every practitioner must know, it's the transuterovesical migration, before concluding wrongly to its expulsion. It's a consequence of, non-compliance with the rules for inserting an IUD and poor monitoring. The evolution towards calcification is a certain consequence; its screening involves rigorous clinical monitoring.
ISSN:2055-7426
2055-7426
DOI:10.1186/s40834-024-00302-x