Calculus Formation in Bladder from Migrated Intrauterine Devices

Authors

  • Mangkubumi Putra Wijaya Department of Urology, Faculty of Medicine, Universitas Brawijaya
  • Kurnia Penta Seputra Department of Urology, Faculty of Medicine, Universitas Brawijaya
  • Besut Daryanto https://orcid.org/0000-0002-0776-1633, Saiful Anwar Hospital http://orcid.org/0000-0002-0776-1633
  • Taufiq Nur Budaya Department of Urology, Faculty of Medicine, Universitas Brawijaya

DOI:

https://doi.org/10.21776/ub.jkb.2022.032.02.11

Keywords:

Bladder stone, intrauterine device, vesicolithotomy

Abstract

Migration of the intrauterine device (IUD) into the bladder has been a rare case. There were reported 31 cases of IUD migration into the bladder until 2006. Although IUD migration is asymptomatic, it should be removed to prevent complications such as pelvic abscess, bladder or intestinal rupture, and adhesion. A 52-year-old woman came to the urology clinic with pyuria since the previous 3 months. She had a history of IUD insertion in 1982; and two months later, she got pregnant. Since 2015, she has suffered from dysuria but has never been treated and has worsened in the past 3 months. On physical examination, tenderness was found in the suprapubic region. The results of urinalysis showed pyuria and hematuria. The ultrasonography findings, there were large bladder stones. An abdominal x-ray revealed the presence of a bladder stone with the IUD tail. Vesicolithotomy was performed and the IUD was found attached to an 11x7 cm bladder stone. The patient had a good postoperative condition without any special complications. The IUD in the bladder is a medium for forming secondary bladder stones. Most cases of IUD migration are caused by a lack of evaluation after the installation procedure. This case suggested that the physician should be more careful in carrying out the installation procedure. It is necessary to evaluate the location of the IUD after installation to prevent further patient complications.

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Author Biography

Besut Daryanto, https://orcid.org/0000-0002-0776-1633, Saiful Anwar Hospital

Department of Urology, Brawijaya University

References

Jain A, Gupta M, Sadasukhi TC, and Dangayach K. Foreign Body (Kidney Beans) in Urinary Bladder: An Unusual Case Report. Annals of Medicine and Surgery. 2018; 32: 22-25.

Agarwal M, Aggarwal A, Pandey S, and Kumar M. Knotted Electric Wire in Urinary Bladder: Can Such Complex Foreign Body Be Retrieved Endoscopically! BMJ Case Reports. 2018; 2018: 1-3.

Kavanaugh ML and Jerman J. Contraceptive Method Use in the United States: Trends and Characteristics between 2008, 2012, and 2014. Contraception. 2018; 97(1): 14–21.

Sanders AP and Sanders BH. Retained Intrauterine Devices in Pregnancy. Canadian Medical Association journal. 2018; 190(14): 1-1.

Odoemene CA and Onuh CA. Foreign Bodies in the Urinary Bladder – Case Series. Journal of the West African College of Surgeons. 2016; 7(3): 124–136.

Al-Okour RK, Al-Ghawanmeh H, and Al-Ghazo M. Intravesical Foreign Body: The Forgotten and Forsaken Diagnosis? A Case Report and Review. Journal of Integrative Nephrology and Andrology. 2017; 4(3): 104-106.

Bansal A, Yadav P, Kumar M, et al. Foreign Bodies in the Urinary Bladder and Their Management: A Single-Centre Experience from North India. International Neurology Journal. 2019; 20(3): 260-269.

Chaabouni A, Samet A, Fourati M, Harbi H, Mseddi MA, and Hadjslimene M. A Bladder Stone Surrounding a Foreign Body: A Rare Case. Urology Case Reports. 2022; 40: 1-3.

Thatte A, Rajendran S, Murphy L, and Allen M. Intravesical Foreign Body: Clinical Features and Diagnostic Clues. BMJ Case Reports. 2014; 2014: 1-2.

Sparic R, Dotlic J, Mirkovic LB, et al. Asymptomatic Isthmico-Cervical Uterine Perforation with IUD - Our Experience and Literature Review. Clinical and Experimental Obstetrics & Gynecology. 2016; 43(6): 896–898.

Kart M, Gülecen T, Üstüner M, Çiftçi S, Yavuz U, and Özkürkçügil C. Intravesical Migration of Missed Intrauterine Device Associated with Stone Formation: A Case Report and Review of the Literature. Case Reports in Urology. 2015; 2015: 1-4.

De Silva WSL, Kodithuwakku KASUA, Aponsu GUE, Rathnayake RMM, and Rasaseragam E. A Large Bladder Stone Caused by the Intrauterine Contraceptive Device: a Case Report. Journal of Medical Case Reports. 2017; 11: 1-4.

Chondros K, Konsolakis I, and Graikos K. Young Woman with a Foreign Body into the Bladder. Clinical Medical Image Library. 2018; 4(6): 1-2.

Tang J, McFann K, and Chonchol M. Dietary Zinc Intake and Kidney Stone Formation: Evaluation of NHANES III. American Journal of Nephrology. 2012; 36(6): 549–553.

Kim YJ, Youm J, Kim JH, and Jee BC. Actinomyces-Like Organisms in Cervical Smears: The Association with Intrauterine Device and Pelvic Inflammatory Diseases. Obstetrics & Gynecology Science. 2014; 57(5): 393–396.

Schmitt BH, Feder MT, Rokke DL, Moyer TP, and Pritt BS. An Unusual Foreign Body in the Urinary Bladder Mimicking a Parasitic Worm. Journal of Clinical Microbiology. 2012 Jul; 50(7): 2520–2522.

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Published

2022-08-31 — Updated on 2022-11-04

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Case Report