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Intravesical Migration of an Intrauterine Contraceptive Device with Secondary Calculus Formation

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Intrauterine contraceptive devices (IUCDs) are a common form of reversible contraception owing to fewer system-ic side effects and low cost, especially in a developing country like India. However, IUCDs are not without compli-cations. Migration of a device into adjacent organs is the most morbid of all the documented complications. A pa-tient who presents with a history that suggests loss or disappearance of an IUCD thread associated with urinary symptoms should raise suspicions that a device may have migrated into the bladder. Physicians should also be aware of possible secondary vesical calculus formation. Further radiological investigations and appropriate man-agement are warranted. We present a case report describing the migration of an IUCD into the bladder with sec-ondary calculus formation.

Abstract

Intrauterine contraceptive devices (IUCDs) are a common form of reversible contraception owing to fewer system-ic side effects and low cost, especially in a developing country like India. However, IUCDs are not without compli-cations. Migration of a device into adjacent organs is the most morbid of all the documented complications. A pa-tient who presents with a history that suggests loss or disappearance of an IUCD thread associated with urinary symptoms should raise suspicions that a device may have migrated into the bladder. Physicians should also be aware of possible secondary vesical calculus formation. Further radiological investigations and appropriate man-agement are warranted. We present a case report describing the migration of an IUCD into the bladder with sec-ondary calculus formation.

참고문헌 (7)

  1. Subramanian V, "Surgical options for the retrieval of a migrated intrauterine contraceptive device", J Surg Case Rep, 2013, pp.rjt072~ (2013)
  2. Brar R, "A forgotten migrated intrauterine contraceptive device is not always innocent : a case report", Case Rep Med, 2010, pp.740642~ (2010)
  3. Aggarwal S, "Intravesical migration of intrauterine contraceptive devices with stone formation", J Family Med Prim Care, 3, pp.449~451 (2014)
  4. Mbamara S, "An unusual presentation of perforated intrauterine contraceptive device", Ann Med Health Sci Res, 3, pp.274~276 (2013)
  5. Vagholkar S, "Secondary vesical calculus resulting from migration of an intrauterine contraceptive device", Case Rep Obstet Gynecol, 2012, pp.603193~ (2012)
  6. Dietrick DD, "Intravesical migration of intrauterine device", J Urol, 147, pp.132~134 (1992)
  7. Van Ophoven A, "Clinical management of foreign bodies of the genitourinary tract", J Urol, 164, pp.274~287 (2000)

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