Abstract

PIP: Presented are two cases from Bangladesh in which an intrauterine device (IUD) transmigrated from the uterine to the pelvic cavity. In the first case, a 19-year-old woman with 2 children had a Copper T-380A IUD inserted by a paramedic in 1988. About 4 days later, she developed lower abdominal pain and vaginal bleeding. An attempt to remove the IUD by dilatation and curettage was unsuccessful and the patient was lost to follow up. In 1995, after she had delivered 3 more children, this patient presented with burning micturition, dysuria, and increased frequency. A plain film revealed a T-shaped radio-opaque shadow in the pelvis. A T-shaped vesical calculus was removed through suprapubic cystolithotomy. In the second case, a 28-year-old woman had a Copper T-380A IUD inserted in 1991. One month later, she developed increased frequency of micturition and could not locate the device's nylon string. A plain film and ultrasonogram of the pelvis indicated the IUD had perforated the uterus and migrated to the bladder. The device was removed through suprapubic cystolithotomy. In both cases, the postoperative recovery was uneventful.