Abstract
In Brief A 23-year-old nulligravid woman presented to our hospital with a misplaced copper T380 intrauterine contraceptive device (IUD) that was placed 2 months previously. The only symptom was pelvic pain and a history of severe pain at the time of insertion. She denied bladder or bowel symptoms. Diagnostic laparoscopy failed to identify the IUD and a laparotomy was performed at which time the IUD was palpable in the bladder and removed via a cystotomy at the dome of the bladder. This case emphasizes the bladder as one of the possible extrauterine locations that should be considered when looking for an IUD that has perforated the uterus. Ultrasonography to specifically examine the bladder or cystoscopy should be considered when other imaging fails locate the IUD in the endometrial cavity. A 23-year-old nulligravid woman presented with a misplaced copper T380 IUD placed 2 months previously. The IUD was found in the bladder.
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