Long-Term Retained Lippes Loop Intrauterine Device Causes Vesicouterine Fistula

Abstract

This case report discusses a 77-year-old female patient who presented to an outpatient clinic with urinary symptoms and recurrent UTIs. Imaging revealed a foreign body, which was later confirmed as a retained intrauterine device (IUD) that had caused a vesicouterine fistula (VUF). The patient had a medical history of cervical cancer treated with radiation therapy, during which her IUD's string could not be located, leading to the decision to proceed with radiation therapy without removing the IUD. The patient opted to manage her condition medically rather than undergo surgical removal due to concerns about worsening the vesicouterine fistula. This case highlights the potential risks and complications of retained IUDs, and the importance of careful consideration and communication among clinical teams and patients when managing these situations.

Two Natural Births with Unremoved Iuds Causing Bladder Stone Formation Due to IUD Migration: A Rare Case

“…In our patient, the use of the Multiload 375 copper release Device was rare however she was kept too long for 16 years and had 2 natural births in 2009 and 2019. Uterine perforation is the most dangerous and feared complication, the IUD causing perforation of the uterus into the bladder and stone formation is rare and accounts for 1% to 3% of reports [2][3][4]. It is primarily treatment-induced primary occurs at the time of IUD insertion and presents immediately as pain and vaginal bleeding.…”

“…However, some complications of the IUD have been reported. One of these complications is that the IUD perforates the uterus and travels to nearby organs such as the peritoneum, intestines, blood vessels, and bladder [2][3][4]. The IUD moving outside the uterus is an uncommon but dangerous complication.…”