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. 2012:2012:603193.
doi: 10.1155/2012/603193. Epub 2012 Jul 18.

Secondary vesical calculus resulting from migration of an intrauterine contraceptive device

Suvarna Vagholkar  1 , Ketan Vagholkar
Affiliations

Secondary vesical calculus resulting from migration of an intrauterine contraceptive device

Suvarna Vagholkar et al. Case Rep Obstet Gynecol. 2012.

Abstract

Intrauterine contraceptive device (IUCD) is the commonest form of contraception used in view of less systemic side effects. However, there are a multitude of local complications caused by it. Of all the local complications described, migration of the device into adjacent organs is the most morbid of all complications. A patient presenting with history of loss or disappearance of the intrauterine contraceptive device accompanied by urinary symptoms should raise the doubt of a migrated device with the formation of a secondary calculus. This prompts further radiological investigations and merits surgical intervention either endourologically or by open surgery depending upon the merits of the case. A case report elucidating this fact is presented.

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Figures

Figure 1
Figure 1
Plain X-ray showing the calculus and the horizontal limb of the device attached to it.
Figure 2
Figure 2
The stone was partially impregnated into the bladder musculature by virtue of the horizontal limb of the device.
Figure 3
Figure 3
Complete removal of the stone along with the projecting horizontal limb of the intrauterine device.
See this image and copyright information in PMC

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