Secondary Vesical Calculus caused by Transmigration of Intrauterine Device: A Case Report PD13-PD14
Dr. Yanshul Rathi,
House No. B-109, Ganga Vihar, Delhi, India.
Intrauterine Contraceptive Device (IUCDs) are among the popular methods having results comparable to tubal ligation contraception method among the women. Some; not common but serious complications by its insertion may be encountered in the clinical practice like uterine perforation which may lead to its migration to adjacent organs which in turn leads to bladder stone formation being one among them. An uncommon case of a 45-year-old female patient presented with a stone formation around a migrating intrauterine device (Copper-T). The lady presented with a 4-year history of irritative voiding symptoms and occasional terminal haematuria for which she received treatment from time to time but her symptoms persisted. She had a history of a Copper-T inserted 18 years ago in one of the primary health centre in Punjab. She also gave history of tubal ligation 3 years after the insertion of Copper-T. Her X-ray Kidney Uretere and Bladder (KUB) showed a large radio-opaque vesical calculus with a part of T loop IUCD protruding through it. Ultrasonogram of the pelvis revealed a bladder calculus. Suprapubic cystolithotomy was performed and a vesical calculus with embedded Copper-T was retrieved. The post-operative period was uneventful. Awareness about proper insertion of intrauterine device through trained persons, its time of insertion (chances of uterine perforation being more during puerperium), proper counselling in patients going for IUCD insertion (the significance of missing thread) and the use of newer contraceptive device causing less complication is overemphasised in the present case report.