Bladder Stone: A Complication of Intravesical Migration of Lippes Loop

Abstract

We report on a woman in whom an intrauterine contraceptive device (Lippes loop) migrated from the uterus to the bladder with formation of a calculus. Eight years elapsed between intrauterine insertion of the device and its retrieval with the calculus from the bladder.

Case Report: Tale of a Missing Copper-T.

“…Complications associated with IUCD are dysmenorrhoea, pelvic infections, ectopic pregnancy, hypermenorrhoea,, pain, uterine perforation, migration into adjacent organs 8,9,10 . Uterine perforation by IUCD is usually at the time of insertion 11 .…”

“…Uterine perforation by IUCD is usually at the time of insertion 11 . The technique of insertion, time of insertion, physicians skill, the uterine and cervical anatomy 9 , faulty insertion technique, soft uterine wall, recent pregnancy, abortion are some of the factors which may lead to uterine perforation and subsequent transvesical migration. Patient may present with abdominal pain, voiding symptoms or may be asymptomatic.…”

Migration of an intrauterine contraceptive device to the urinary bladder: Sonographic findings

“…Uterine perforation due to migration of an IUD is rare, with reported incidences ranging from 0.1% to 0.9%. 1,2 During migration of the device, uterine perforation is asymptomatic, but the resulting erosion of the urinary bladder usually results in irritative voiding symptoms. 3 At the time of detection, migrated IUDs are usually located in the peritoneal cavity; a few protrude into the adjacent viscera, mainly the intestine.…”

Bladder Stone and Lower Urinary Tract Symptoms due to Migrated Intrauterine Contraceptive Device: A Case Report and a Brief Review of the Literature

“…However, complications such as discomfort (3), lower urinary tract symptoms (4)(5), infertility (6), PID (7), sepsis (3) have been reported in the literature. Also transvesical migration or misplacement of an IUD is a rare complication (2-8-9).…”