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Case Studies | General Surgery | India | Volume 13 Issue 10, October 2024 | Rating: 5.2 / 10
Urinary Bladder Stone Secondary to Transmigration of Intra Uterine Contraceptive Device
Dr. Uttam Rawate, Dr. Aseem Binfaz K
Abstract: An intra uterine contraceptive device (IUCD) is a high effective form of long - term contraception that is inserted into the uterus to prevent pregnancy. IUCD s are favoured for their convenience and efficacy. Despite their high success rate, complication can occur, including device expulsion, perforation of uterine wall, and increased risk of pelvic inflammatory disease. This is an uncommon case of vesical stone formation by transmigration of intrauterine contraceptive device to urinary bladder. 29 year old lady presented with urinary bladder stone formation around a migrating intra uterine device (Cu-T). Lady presented with 3 year history of irritative voiding symptoms and occasional haematuria for which she had taken treatment but symptoms were not subsided. She gave a history of Cu-T insertion 5 years ago followed by her second parturition from a community health centre in Chhattisgarh. Her Xray Kidney Ureter Bladder (KUB) showed a vesical calculus with embedded loop of copper T. Ultrasonography revealed urinary bladder stone around the IUCD. Suprapubic cystolithotomy was performed and intraoperatively it was found that 4 x 2 cm stone with Cu-T partly inside the calculus and partly in the bladder wall. Post operative period was uneventful. Information about proper insertion of intrauterine device through qualified persons, its time of insertion, proper counselling in patients going for IUCD insertion (the significance of missing thread) and the use of newer contraceptive device causing less complication is overemphasized in the present case report.
Keywords: Cu-T, Bladder stone, Migration
Edition: Volume 13 Issue 10, October 2024,
Pages: 467 - 468