Migration of copper T [IUD] from the uterus to the urinary bladder with calculus formation [unusual case report]

ABSTRACT

We report a 35 year old lady presenting with a bladder stone formed over a migrated intrauterine device. The lady presented with recurrent urinary tract infection for the last 2 years, irritative lower urinary tract symptoms and hematuria. History was suggestive of intrauterine contraceptive [IUCD] device placement 3 years back. She was treated with antibiotics on random basis but the urinary tract infection recurres few weeks after termination of treatment. Investigations included hematocrit, plain X-ray of abdomen, ultrasound of abdomen, urinalysis, and urine culture and sensitivity. Plain X-ray and ultrasound of the abdomen confirmed a bladder stone. Open cystolithotomy was performed under general anesthesia. The stone formed over a copper-T IUCD. Post operative course was uneventful and the patient is currently asymptomatic. The importance of post-insertion follow up and the need for awareness of migration of IUCD including intravesical migration cannot be overemphasized