Complications associated with intravesical migration of an intrauterine device
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The intrauterine device (IUD) is the most common method of reversible contraception in women. However,IUD can perforate the uterus and also migrate into pelvic or abdominal organs. A 43-year-old woman witha 5-year history of IUD placement and without specific symptoms, decided to remove her IUD and undergo tuballigation. Radiological assessment, including a pelvic X-ray and ultrasonography, revealed no copper IUD within theuterus. Retrieval attempts with cystoscopy were unsuccessful. The IUD was found embedded in the fundal part of thebladder wall and was subsequently removed through a laparotomy incision. Although there are cases in the literaturethat were successfully managed with cystoscopy, in chronic cases, the formation of granulation tissue may precluderetrieval of an IUD using this intervention.
Abstract
The intrauterine device (IUD) is the most common method of reversible contraception in women. However,IUD can perforate the uterus and also migrate into pelvic or abdominal organs. A 43-year-old woman witha 5-year history of IUD placement and without specific symptoms, decided to remove her IUD and undergo tuballigation. Radiological assessment, including a pelvic X-ray and ultrasonography, revealed no copper IUD within theuterus. Retrieval attempts with cystoscopy were unsuccessful. The IUD was found embedded in the fundal part of thebladder wall and was subsequently removed through a laparotomy incision. Although there are cases in the literaturethat were successfully managed with cystoscopy, in chronic cases, the formation of granulation tissue may precluderetrieval of an IUD using this intervention.
참고문헌 (10)
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