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Vesical calculus 10 years post missing intrauterine contraceptive device
Abdullahi Abdulwahab-Ahmed1, Oluwagbemiga Olabisi Ogunleye1
1Department of Surgery, Usmanu Danfodiyo University, Teaching Hospital, Sokoto, Nigeria.
Journal of Surgical Technique and Case Report
|January 29, 2014
Summary
Intravesical migration of an intrauterine contraceptive device (IUCD) is a rare complication. A missing IUCD string and lower abdominal discomfort may indicate migration, potentially leading to bladder stones years later.
Area of Science:
- Urology
- Gynecology
- Medical Devices
Background:
- Intravesical migration of intrauterine contraceptive devices (IUCDs) is an uncommon occurrence.
- Diagnosis is often delayed due to non-specific symptoms and low clinical suspicion.
Observation:
- A case is presented of a bladder stone resulting from an IUCD that migrated into the bladder.
- The IUCD had been missing since its insertion 10 years prior to diagnosis.
Findings:
- A missing IUCD string and lower abdominal discomfort can be early indicators of intravesical migration.
- Delayed presentation can lead to complications such as calculus formation.
Implications:
- Clinicians should consider intravesical IUCD migration in patients with unexplained lower abdominal discomfort, urinary symptoms, and a missing device string.
- Prompt diagnosis and management are crucial to prevent serious complications.
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