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Woman with Bladder Stone Diagnosis: Migrate Intrauterine Device and Pregnancy Story
Nadir Kalfazade, Kamil Gökhan Şeker, Ekrem Güner, Mithat Ekşi, Mustafa Gürkan Yenice, Abdulmuttalip Şimşek, Volkan TuğcuThe intrauterine device (IUD) is a safe and effective method for contraception. IUD dislocation and perforation of the bladder wall of the IUD are rare. After the migration of the IUD to the mesentery, secondary stone formation may occur and patients usually present with symptoms such as recurrent urinary tract infection and suprapubic and pelvic pain, dysuria and gross hematuria. In this report, we present a case in which the IUD perforated the uterus and migrated to the bladder.
A 28-year-old female patient (gravida 2, para 1) admitted to our clinic with chronic urinary tract infection and pain. The patient had one live birth story with the current migraine RIA. About 3.5 years ago, there was a Copper T 380 type IUD placed by a gynecologist. In KUB the opacity of the pelvic mass was observed. Ultrasonography showed echogenic intravesical lesion about 35 mm in length, suggesting RIA. Under general anesthesia, cystoscopy was performed. It was observed that IUD was petrified and moved freely in the bladder. Open cystolithotomy operation was performed. The patient was discharged 3 days after the removal of the IUD without complications.
Regular follow-up is necessary for the risk of developing complications in cases with IUD. In addition, training of health personnel to be implemented by the IUD is necessary for the reliability of family planning.Pelvic pain that does not occur in women with IUD should suggest persistent urinary tract complaints, possibly with intra-bladder localization of IUD.
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