Chronic kidney disease after vesico-vaginal stone formation around a migrated intrauterine device

Karsmakers, R; Weis-Potters, A E; Buijs, Guido; Joustra, E B

doi:10.1136/bcr.12.2009.2547

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…A case report was found involving a migrated “Lippes Loop” with VVF, chronic kidney disease and bladder calculus. 2 We have also found two case reports of uterine perforation secondary to a “Saf-T-Coil” IUD; two of these occurred at the time of insertion, while one case presented 30 years post insertion with erosion into the peritoneal cavity and small bowel obstruction. 3 , 4 …”

Section: Discussionmentioning

confidence: 92%

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A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

Madden

Aslam

Nusrat

2016

Urology Case Reports

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Intrauterine devices (IUDs) are reliable method for contraception. Although, they are generally regarded as safe, serious consequences may occur in case of uterine perforation or intravesical migration. We present a rare case of a 74 year old lady with a forgotten IUD for 42 years resulting in intravesical migration, formation of vesicovaginal fistula (VVF) without uterine perforation, complete urinary incontinence, recurrent urinary tract infections (UTIs) and a large vesicovaginal calculus.

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Section: Discussionmentioning

confidence: 92%

“…If there is intraperitoneal migration, minimally invasive or an open approach may be employed to deal with the complications as well as to remove the device, whereas in cases of intravesical migration and stone formation, cystolithotripsy of bladder calculus should be done with subsequent removal of IUD. 2 …”

Section: Discussionmentioning

confidence: 99%

A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

Madden

Aslam

Nusrat

2016

Urology Case Reports

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“…[4] There has also been a report of intrauterine device recovered 39 years after insertion causing chronic renal disease as a result of vesicovaginal fistula formation after uterine perforation. [5] Ileal penetration has been reported as early as four weeks after insertion. [6] In an analysis of risk factors associated with uterine perforation by intrauterine devices by Caliskan et al, the risk of perforation was found to be significantly increased if the intrauterine device was inserted before 6 months of delivery.…”

Section: Discussionmentioning

confidence: 99%

A Case of Missing Iucd

V.R¹

2013

jemds

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“…In other case of migrating SaF-T-Coil the patient underwent cystoscopy and cystolithotripsy of a large intravesical stone. The IUD was removed via vaginal route and vesicovaginal fistula was treated [7,8].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Belci¹,

Mihovili²,

Zori³

et al. 2017

OGIJ

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Submit Manuscript | http://medcraveonline.com Spontaneous expulsions are rare, but can occur in the first months of usage, especially when the IUD is inserted shortly after childbirth. Uterine perforation is an extremely rare complication with a rate of 0.4/1000 insertions [1]. Perforation can occur during the insertion of IUD so it is recommended to be performed by an experienced gynaecologist [2]. Due to IUD migration, 30% of uterine perforations are asymptomatic. Case ReportA 68-year-old female, gravida 3(1 missed abortion), para 2, postmenopausal for 14 years, who came to the gynaecology outpatient department, presented with pain in suprapubic region for a year. Because of frequent urinary tract infections and mixed urinary incontinence, during the course of a year she took propiverine hydrochloride 30 mcg and nitrofurantoin 50 mcg prescribed by a general practitioner. Her last gynaecological examination was 20 year ago. After the second birth in 1970, sutures were put on her vagina and cervix and she received a blood transfusion. She cited that she was put an IUD 40 years ago. So far she suffered from arterial hypertension, glucose intolerance and GERD.At this point vaginal examination was done-vagina was closed 2 cm proximal to the vaginal introitus and no cervix was visualised. Vaginal smear was taken for cytological analysis which was negative for intraepithelial neoplasia. There was no clear outline of the uterus and ovaries visible on transrectal ultrasonography. IUD was not visualised and there was no fluid in the Pouch of Douglas. Transabdominal ultrasound showed intravesical hyperechoic reflection 3.4 cm in diameter which could represent stone. Further pelvic and abdominal CT scan revealed hyperdense linear formation with dimensions of 2.9x 5.0 cm placed in the uterine isthmus and vagina that descends to the introitus of the vagina. Furthermore, round calcified formation with dimensions of 3.0x2.4 cm was revealed in the posterior bladder wall ( Figure 1). These two formations were in close contact.Laboratory parameters were within normal values. Urine culture demonstrated Proteus mirabilis infection so the patient was given cefuroxime intravenously for 7 days at the Department of Infectious Diseases. When the urine culture came sterile, the patient was examined by aurologist for the first time and cystoscopy was performed. The urological operation was planned based on uroendoscopy and ultrasound findings where the stem (calculus) was verified. IUD was not verified because the stem was completely obliterated by the IUD. The operation was performed AbstractIntrauterine contraceptive device (IUCD) is one of the most frequently used contraceptive methods worldwide. Spontaneous perforation of the uterus or vagina and IUD migration to the bladder is very rare. We present a case of 68-yearold female with vaginal perforation of IUCD and migration into the bladder which resulted in formation of bladder calculus.

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Chronic kidney disease after vesico-vaginal stone formation around a migrated intrauterine device

Cited by 10 publications

References 14 publications

A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

A Case of Missing Iucd

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

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