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Complications associated with intravesical migration of an intrauterine device

Obstetrics & Gynecology Science 2020년 63권 5호 p.675 ~ 678
Rasekhjahromi Athar, Chitsazi Zohre, Khlili Azadeh, Babaarabi Zahra Zarei,
소속 상세정보
 ( Rasekhjahromi Athar ) - Jahrom University of Medical Sciences Department of Obstetrics and Gynecology
 ( Chitsazi Zohre ) - Jahrom University of Medical Sciences Department of Obstetrics and Gynecology
 ( Khlili Azadeh ) - Jahrom University of Medical Sciences Department of Obstetrics and Gynecology
 ( Babaarabi Zahra Zarei ) - Jahrom University of Medical Sciences Dr. Rasekh Clinic

Abstract


The intrauterine device (IUD) is the most common method of reversible contraception in women. However, IUD can perforate the uterus and also migrate into pelvic or abdominal organs. A 43-year-old woman with a 5-year history of IUD placement and without specific symptoms, decided to remove her IUD and undergo tubal ligation. Radiological assessment, including a pelvic X-ray and ultrasonography, revealed no copper IUD within the uterus. Retrieval attempts with cystoscopy were unsuccessful. The IUD was found embedded in the fundal part of the bladder wall and was subsequently removed through a laparotomy incision. Although there are cases in the literature that were successfully managed with cystoscopy, in chronic cases, the formation of granulation tissue may preclude retrieval of an IUD using this intervention.

키워드

Intrauterine devices; Contraception; Migration; Bladder

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