Early-onset complete spontaneous migration of contraceptive intrauterine device to the bladder in a post C-section patient: A case report

Abstract

Highlights Migration of a contraceptive intrauterine device (IUD) rarely occurs. Computed tomography is the preferred radiological examination. Waiting for the complete migration of IUD is beneficial for its easy removal. Periodical evaluation may prevent complications in patients with contraceptive IUD.

Silent perforation and migration of IUCD: A diagnostic challenge in patients with pain abdomen: A case report

“…Uterine perforation though uncommon is a serious complication associated with IUCDs and occurs in 1 per 1000 insertions [1]. It can occur at the time of insertion (traumatic/acute perforation) or at a later date (secondary) due to slow erosion of the device through the myometrium [2]. The risk factors for perforation are: insertion in the early postpartum period (<6 months of delivery) or during lactation; developmental uterine anomalies; small uterine size (women of low parity), and technical inexperience.…”

Da Vinci–assisted laparoscopic removal of an intrauterine device in the bladder

“…The device type and material do not appear to affect the risk of migration 5 . While studies indicate that uterine perforation from IUD migration occurs soon after insertion, the timing is variable and encompasses anywhere from weeks to decades after placement 1,5 . Individual uterine anatomy and orientation of the device during initial placement can indicate the trajectory of the device movement.…”

“…Migration of intrauterine devices (IUDs) into surrounding pelvic or suprapubic structures is rare, occurring in approximately 1-3 of 1000 IUD placements. 1 This rate is likely underestimated as some patients with migratory IUDs present asymptomatically. 2 Extrauterine IUDs cause a wide range of symptoms depending on the location of migration, including dysuria, hematuria, dyspareunia, bowel perforation, and contraception failure.…”

“…5 While studies indicate that uterine perforation from IUD migration occurs soon after insertion, the timing is variable and encompasses anywhere from weeks to decades after placement. 1,5 Individual uterine anatomy and orientation of the device during initial placement can indicate the trajectory of the device movement. We suggest performing a CT urogram instead of abdominopelvic CT or magnetic resonance imaging for localization of migrated IUDs when urinary symptoms, especially gross or microscopic hematuria, are present, as CT urogram may delineate potential erosion to the urinary system more precisely.…”

“…2 Extrauterine IUDs cause a wide range of symptoms depending on the location of migration, including dysuria, hematuria, dyspareunia, bowel perforation, and contraception failure. [1][2][3] A 46-year-old woman, gravida 2, para 2, presented with microscopic hematuria and frequent urination. She had a copper IUD placed approximately 13 years before presentation.…”