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Combined Laparoscopic and Cystoscopic Retrieval of Forgotten Translocated Intrauterine Contraceptive Device
Taiwo O Alabi1, Mohan Keshavamurthy2, Shabeer Ahmed3
1Department of Surgery, Urology Unit, College of Medicine, Lagos University Teaching Hospital, University of Lagos, Lagos, Nigeria.
Summary
A rare intrauterine contraceptive device (IUCD) complication involved a 17-year-displaced IUCD causing bladder stones and infection. Combined laparoscopic and cystoscopic surgery was needed for removal.
Area of Science:
- Reproductive Medicine
- Urology
- Surgical Case Reports
Background:
- Intrauterine contraceptive devices (IUCDs) are common long-term reversible contraception.
- While generally safe, IUCDs can cause complications, including rare uterine perforations.
Observation:
- A 48-year-old woman presented with recurrent urinary tract infections after 17 years with an IUCD.
- The IUCD had migrated through the bladder dome into the peritoneal cavity, forming bladder stones around its tail and thread.
Findings:
- This rare IUCD translocation presented a "Collar Stud" effect, complicating retrieval.
- Neither cystoscopy nor laparoscopy alone was sufficient for removal.
Implications:
- A combined laparoscopic and cystoscopic approach is necessary for managing translocated IUCDs with bladder involvement.
- Highlights the importance of IUCD follow-up and awareness of rare migration complications.
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