Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Oct;96(40):e8236.
doi: 10.1097/MD.0000000000008236.

Vesical transmigration of an intrauterine contraceptive device: A rare case report and literature review

Wei Chai  1 , Wenlei Zhang, Guifeng Jia, Miao Cui, Lifeng Cui
Affiliations
Review

Vesical transmigration of an intrauterine contraceptive device: A rare case report and literature review

Wei Chai et al. Medicine (Baltimore). 2017 Oct.

Abstract

Rationale: Displacement of an intrauterine contraceptive device (IUD) is a rare and serious complication of IUD insertion. Theoretically, it can migrate to anywhere in the pelvic and abdominal cavity. However, it is not usual for an IUD to migrate to the bladder.

Patient concerns: In this case report, we reported a patient with chronic urinary symptoms caused by the migration of an IUD into the bladder. The displacement of the IUD led to contraception failure and IUD retention in the bladder for 5 years.

Diagnoses: Pelvic ultrasonography (US), radiography, and cystoscopy examinations confirmed the migration of IUD in bladder.

Interventions: The patient underwent cystoscopy.

Outcomes: The MCu IUD was successfully removed without any complications.

Lessons: Our study demonstrated that a missing IUD should be followed up and removed early to avoid possible serious complications.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Ultrasound examination showing the MCu intrauterine device (IUD) (red arrows) during pregnancy. IUD = intrauterine contraceptive device, US = ultrasonography.
Figure 2
Figure 2
Ultrasound examination of the bladder and uterus. (A) US showing MCu intrauterine device (IUD) with a strong echo in the bladder (red arrow) and another IUD with a moderate echo in the uterus (white arrow). (B) US showing MCu IUD with strong echo (red arrows) in the bladder. IUD = intrauterine contraceptive device, US = ultrasonography.
Figure 3
Figure 3
Plain radiography showing one general intrauterine device (IUD) (white arrow) and the MCu IUD (red arrow) in the pelvic cavity. IUD = intrauterine contraceptive device.
Figure 4
Figure 4
Cystoscopy showing a complete MCu intrauterine device (IUD) with no damage to the bladder wall. IUD = intrauterine contraceptive device.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Wildemeersch D, Goldstuck ND, Hasskamp T. Current status of frameless anchored IUD for immediate intracesarean insertion. Dev Period Med 2016;20:7–15. - PubMed
    1. Koo HR, Oh YT, Kim YT, et al. Intrauterine device found in an ovarian carcinoma. J Comput Assist Tomogr 2008;32:69–71. - PubMed
    1. Sirikci A, Sarica K, Bayram M. Ureteral displacement due to a migrated intrauterine contraceptive device. Urol Int 2000;65:179–80. - PubMed
    1. el-Diasty TA, Shokeir AA, el-Gharib MS, et al. Bladder stone: a complication of intravesical migration of Lippes loop. Scand J Urol Nephrol 1993;27:279–80. - PubMed
    1. Matthews LR, O’Dwyer L, O’Neill E. Intrauterine device insertion failure after misoprostol administration: a systematic review. Obstet Gynecol 2016;128:1084–91. - PubMed