Abstract
Migration of an Intrauterine Device to the Bladder : A Case Report
The intrauterine contraceptive device (IUCD) is one of the most effective and safe contraceptive methods. The intrauterine contraceptive device can perforate the uterine wall and migrate to pelvic or abdominal organs. The clinical presentation may vary from asymptomatic patients, urinary symptoms, to acute abdominal pain with hollow viscera perforation. When migration of the intrauterine contraception device is present , removal is mandatory due to its potential complications.
Case Presentation
A 27 years old women gravida 3, cesarean delivery 2 and 1 abortion, with 5 months of persistent urinary symptoms, despite antibiotic empiric treatment. Gynecological examination revealed no visualization of retrieval strings through the cervix. A transvaginal ultrasound was performed showing the intrauterine contraception device inside the bladder. A cystoscopy was later performed showing the device embedded in the lateral wall of the bladder, the attempt to extract the device was failed. The patient went to an open cystotomy and the device was extracted, no complications were reported.
Conclusions
The presence of persistent urinary symptoms in a patient with a missed conceptive intrauterine device should raise suspicion of intravesical migration of the device.
Author(s):
Javier Antonio Reyes Quan, Lorem Yudith Bustillo, Dennis Chirinos
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