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Intra uterine device migrating into the bladder with stone formation
Youness Chakir1, Yassine Daghdagh1, Amine Moataz1
1Urology and Andrology departement, CHU Ibn Rochd, Sexual Health Laboratory, FMPC, Casablanca Morocoo.
Urology Case Reports
|November 15, 2021
Summary
A rare case of an intrauterine device (IUD) perforating the uterus and bladder led to stone formation. The bladder stone and ectopic IUD were successfully removed using laser and transurethral resection.
Area of Science:
- Urology
- Gynecology
- Medical Imaging
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Uterine perforation by an IUD is a rare complication.
- IUD migration leading to bladder perforation and stone formation is exceptionally uncommon.
Observation:
- A 50-year-old woman presented with suprapubic pain and increased urinary frequency.
- Imaging studies (ultrasound, X-ray, CT scan) revealed an IUD perforating the uterus and bladder.
- A calculus (stone) had formed around the perforating IUD within the bladder.
Findings:
- The bladder stone associated with the ectopic IUD was successfully fragmented and removed using YAG Holmium Laser lithotripsy.
- The perforating intrauterine device was subsequently extracted without complications via a transurethral resectoscope.
Implications:
- This case highlights a rare but serious complication of IUD use.
- It underscores the importance of advanced imaging in diagnosing misplaced IUDs.
- Minimally invasive endoscopic techniques can effectively manage complex IUD-related urological issues.
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