Ectopic Intrauterine Device in the Bladder Causing Cystolithiasis: A Case Report

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2022 May 25

PMID 35611133

Authors

Hai-Tao Yu

Yong Chen

Yong-Peng Xie

Ting-Bin Gan

Xin Gou

Affiliations

Soon will be listed here.

Abstract

Background: An intrauterine device (IUD) is a commonly used contraceptive among women in China. It is widely used because it is safe, effective, simple, economic, and reversible. Among the possible complications, an ectopic IUD in the bladder is rare. It occurs insidiously, has a long course, is associated with a high risk for injury, and is difficult to treat.

Case Summary: A 44-year-old woman was admitted for repeated episodes of urinary frequency, urgency, and dysuria over three months. Laboratory tests revealed significantly elevated urine leukocytes and bacteria. Urine culture suggested colonization with . Abdominal computed tomography images suggested an abnormally positioned IUD that was protruding into the bladder. Cystoscopy revealed a metallic foreign body with multiple stones on its surface in the left posterior bladder wall. The foreign body measured approximately 1 cm. Hysteroscopy revealed the arm of a V-type metal IUD embedded in the middle and upper sections of the anterior wall of the cervical canal. The majority of the IUD was located in the uterine cavity. Cystoscopy was performed, and a holmium laser was utilized to break the stones attached to the portion of the IUD in the bladder. The IUD was then removed through hysteroscopy.

Conclusion: Ectopic IUDs in the bladder can be diagnosed with thorough imaging and safely removed through cystoscopy or hysteroscopy.

Citing Articles

Migrated intra-uterine device to infra-umbilical skin: a rare case report.

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Using laparoscope to remove an ectopic intrauterine device in the anterior wall of urinary bladder: A case report.

Liu S, Dong X World J Clin Cases. 2024; 12(17):3221-3225.

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Intrauterine device migration into the bladder leading to stones formation.

Saputra A, Permatasari N BMJ Case Rep. 2023; 16(10).

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