Migration Of Intrauterine Contraceptive Device Research Articles

Extrauterine Migration of a Displaced IUD Leading to Bladder Wall Perforation: A Case Report

Background: Uterine perforation and Intrauterine contraceptive device (IUD) migration into adjacent organs is a serious complication of IUD insertion with an incidence of 0.1% to 0.9%. Only 2% of all migrated IUD cases have included the bladder. Case Presentation: In this report we discuss the presentation and management of a 54-year-old female diagnosed with extrauterine IUD migration into the bladder with consequent stone formation. She underwent an IUD insertion 28 years ago after her third pregnancy. She presented to our clinic complaining of lower urinary tract symptoms for 2 years. An initial urinary tract ultrasound showed an intravesical echogenic structure with posterior acoustic shadowing that was initially thought to represent a stone. The patient underwent an elective open cystolithotomy under general anesthesia where the IUD was located and then removed. The patient tolerated the procedure well and had an uneventful recovery period. Conclusion: IUD migration is a rare yet serious complication of IUD placement and should be ruled out in females with chronic urinary symptoms. WHO recommends removal of any displaced IUD regardless of location and severity of symptoms.

Unintended Journeys: Intrauterine Contraceptive Device Migration to The Sigmoid Colon and Right Ovary – A Report of Two Cases

Ectopic migration of intrauterine contraceptive devices (IUCDs) to neighboring organs is infrequent but can lead to severe consequences. This article presents two cases of IUCD migration resulting in serious consequences, including sigmoid colon penetration in the first case (25-year-old) and right ovary penetration and contraceptive failure leading to pregnancy in the second case (19-year-old). The IUCD was inserted 6 months ago and 2 years ago in the first and the second cases, respectively. Both cases underwent surgical exploration and IUCD removal. Fortunately, both patients experienced uneventful recoveries without any complications. In conclusion, although uncommon, IUCD ectopic migration may result in contraceptive failure and/or organ perforation. Thorough evaluation during care visits is necessary for proper IUCD placement, and radiological assessment should be performed in cases of "missed IUCD" even if the patient is asymptomatic. Timely removal of ectopic IUCD is strongly advised to minimize potential risks.

Forgotten Migrated Intra-Uterine Contraceptive Device and its rare complication rare case report from Kashmir Valley

The intra-uterine device (Copper T) has been widely used as contraceptive method since 1965. Due to its low cost, effective and reversible nature and long-term benefits, it is widely being used in the developing world. The intra-uterine contraceptive device (IUCD) has been linked to complications like bleeding, perforation and migration to other surrounding organs. The intra-abdomen migration of IUCD is rare but a serious complication. Even in asymptomatic cases, migrated IUCD warrants removal due to its grave complications and medico-legal issues it posses. We reported a rare case of asymptomatic migrated IUCD in a young female who presented to our department with unusual presentation. Both the husband and the subject denied any recollection of indwelling IUCD. The patient was evaluated and diagnosed, and IUCD was removed with right nephrectomy. A brief review in the context is also presented.

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

Secondary perforations of intrauterine contraceptive devices (IUCD) may be clinically silent. The patient may not report the missing threads due to a lack of acute symptoms or under the impression that the device could have been expelled. We present a case of a 42-year-old lady treated for renal cell carcinoma and presenting with recurrent right lower quadrant abdominal pain for 2 years. Ultrasound scans did not reveal any abnormality. A plain computed tomography (CT) revealed a migrated IUCD embedded in the omentum with adjacent inflammation. Although CT is not the modality of choice in the diagnosis of migrated IUCD, it proved helpful in diagnosing this case as history was not forthcoming. This case highlights the diagnostic dilemma faced in cases of silent IUCD migration presenting with pain abdomen. It is important to counsel the patient at the time of IUCD insertion for the early recognition of missing devices and prompt diagnosis of complications.

Инородное тело мочевого пузыря – внутриматочный контрацептив

The article provides a rare observation of a 34-year-old woman who, 12 years before admission to a urological clinic, a gynecologist installed an intrauterine contraceptive device (IUD). The subject migrated into the abdominal cavity, and after 10 years the patient developed dysuria and hematuria. In October 2017, ultrasound and cystoscopy revealed the migration of IUD into the bladder. A foreign body was removed from the bladder - an IUD of a T-shape with the formation of a stone on it with a maximum size of 4.5 cm. During a follow-up examination after 2 years, pathology was not established.

Intrauterine Contraceptive Device Complication: Migration to the Small Bowl and Ovary Concurrently

Intrauterine Contraceptive Device (IUD) is a useful and reversible contraceptive method. This method has potential complications. Uterine perforation and IUD migration is rare but is a serious complication. Migrated IUD could situate in different organs such as bowel loop, urinary bladder, fallopian tube, or ovary. However, the presence of a displaced IUD simultaneously in the two organs is a rare event. Ultrasonography is an appropriate and initial method for evaluating the IUD location. Abdominopelvic x-ray, computed tomography, and MRI are adjunctive imaging modalities. We present a case with migrated IUD, which was located in the right ovary and small intestine simultaneously.

Casuistic cases of migration of the intrauterine device

The purpose of this article is to provide information of isolated cases of migration of intrauterine contraceptive devices (IUD), familiarity with them will be useful in medical practice. In analyzing the medical literature related to the migration of the IUD, a large range of ectopic spirals and a variety of clinical manifestations attract attention. Usually setting the IUD is not difficult. However, complications can sometimes occur: infection, uterine bleeding, ectopic pregnancy, and uterine perforation. This does not happen very often, but at the same time there are potentially serious complications. In cases of complete perforation, the IUD may migrate to various intra-abdominal structures. Thus, according to the analysis of medical literature, most often the IUD migrates into the greater omentum (26.7%), Douglas space (21.5%), the lumen of the colon (10.4%), myometrium (7.4%), wide ligament of the uterus (6.7%), abdominal cavity (5.2%), small intestine (4.4%), large intestine (3.7%), bladder, groin, ovaries, fallopian tubes. Women with chronic pelvic pain on the background of an established IUD should be carefully examined for possible uterine perforation or intrauterine migration. In the differential diagnosis of the causes of pain syndrome, the main role is played by ultrasound examination and hysteroscopy, which allows you to accurately determine the position of the IUD in the uterus or outside it. However, in cases of partial migration, additional clarifying diagnostic methods are used. Computed tomography is effective for determining the location of the IUD, its relationship with neighboring structures, and allows to evaluate other possible causes of dysfunction of the urinary tract. All modern IUDs are radiopaque, therefore, to determine their localization is also used survey X-ray. The range of methods for extracting migrated IUDs is quite diverse, but endoscopic techniques are priorities. Despite the contradictory views on the management of women with an ectopic arrangement of the IUD and the absence of any symptoms, all ectopic contraceptives should be removed as soon as possible after the diagnosis, taking into account the type and localization of the IUD.

A large bladder stone caused by the intravesical migration of an intrauterine contraceptive device: a case report

BackgroundA wide variety of complications due to the extrauterine migration of intrauterine contraceptive devices have been reported in the literature. Here we describe the case of a large bladder stone formed around a migrated Copper T380A device that was neglected and detected 15 years after insertion.Case presentationA 48-year-old Sri Lankan woman underwent a workup for lower urinary tract symptoms and recurrent urinary tract infections over the previous 6 months. The radiographs showed a large bladder stone with an imprint of an intrauterine contraceptive device in the center of it. The device had been inserted 15 years previously. Two years after the insertion, it was considered to be missing, but our patient did not comply with the recommended follow-up. She had been completely asymptomatic until she developed lower urinary tract symptoms. After confirming the location of the stone via ultrasonography, a vesicolithotomy was performed, revealing a stone with three limbs corresponding to the shape of the Copper T380A device. The device and the threads were fully covered with the stone material. Our patient was asymptomatic following the surgery.ConclusionsA migrated intrauterine contraceptive device can act as the nidus for the formation of a secondary bladder stone. The detailed imprint of the device inside the stone and the laminated appearance of the stone material were characteristic of a secondary bladder stone formed around an intrauterine contraceptive device. Radiography and ultrasonography are adequate for the diagnosis of intravesical migration of intrauterine contraceptive devices.

Hydronephrosis caused by intrauterine contraceptive device migration: three case reports with literature review

Translocation of intrauterine contraceptive device (IUD) from the uterus rarely occurs, which can lead to serious complications. Here the authors reported three cases of IUD migration from into the ureter, bladder, and peritoneal cavity that caused hydronephrosis, respectively. All the three patients received minimally invasive surgeries and recovered.

Unusual Complication of Intrauterine Contraceptive Device

ABSTRACT Intrauterine foreign bodies have been used in animals as a contraceptive since times immemorial. The use of pebbles in camels as a contraceptive has been reported in Arabs. Intrauterine contraceptive devices (IUCDs) have been used since 1962 when the first International Conference of Population Council, New York reported encouraging data on Margulies coil and Lippes loop as IUCDs. According to the World Health Organization, IUCDs are the second most widely used reversible contraceptive method after voluntary female sterilization. Intrauterine contraceptive devices have undergone extensive evolution from Grafenberg ring to Ota ring, Margulies coil, Lippes loop, Birnberg bows, Saf T-coil followed by Cu T 200, Cu 7, Multiload Cu 250/375, Cu T 380 Ag, Cu T 380 S [slimline]. Hormonereleasing IUCDs were developed in 1973. Ombrelle 250/380 and FlexiGard are the latest in this series. The common complications encountered with IUCD insertion are pelvic infections, infertility, the risk of both intrauterine and extrauterine pregnancy, pain, altered bleeding pattern, expulsion of the device, and its migration. Migration of IUCD into the bladder has been rarely reported in the literature. The authors report an unusual case of a secondary vesical calculus formed around a migrated IUCD. How to cite this article Agarwal N, Agarwal BK. Unusual Complication of Intrauterine Contraceptive Device. J South Asian Feder Obst Gynae 2016;8(3):243-245.

Intrauterine Contraceptive Device Migrated in Ureter, Bladder and Peritoneal Cavity: 3 Cases Report

Intrauterine contraceptive device (IUD) translocated outside the uterus was rarely reported, it was asymptomatic usually and lead serious complications. We present 3 cases of IUD migration which translocated into the ureter, bladder and peritoneal cavity.

Intrauterine Contraceptive Device in Peritoneal Cavity Invading Sigmoid Colon

The intrauterine contraceptive device (IUCD) is a commonly used method of contraception for women. However, there is a rare but serious risk of migration into the myometrium and then into the peritoneal cavity. IUCD migration into bowel, bladder, omentum, abdominal wall has been reported. We report here, a rare case of an IUCD migrating through the uterus into the peritoneal cavity and subsequently invading into the sigmoid colon.

Vesical calculus 10 years post missing intrauterine contraceptive device

Intravesical migration of intrauterine contraceptive device (IUCD) is rare. Early diagnosis of this rare entity is difficult because of its non-specific manifestations and very low index of suspicion. We present this case of bladder stone following intravesical migration of IUCD found to have been missing since insertion 10 years earlier. Lower abdominal discomfort and a missing vaginal string may be the only pointer to this unfortunate event in the immediate post insertion period. It is pertinent to consider the possibility of an intravesical migration of a missing IUCD in a patient presenting with lower abdominal discomfort, urinary frequency, and missing IUCD string on vaginal examination.

Exercise-Induced Hematuria as the Main Manifestation of Migration of Intrauterine Contraceptive Device into the Bladder

Intrauterine device (IUD) is a common contraceptive method, due to its cost-effectiveness and low complication rates. Uterine perforation is a possible complication and IUD migration to the bladder is a rare and morbid condition. The present report describes an interesting case in which the urinary manifestations started 13 years after insertion, and the main clinical finding was exercise-induced hematuria.

CASE REPORT: TALE OF A MISSING COPPER-T.

Migration of Intrauterine contraceptive device (IUCD) following uterine perforation is not common, but of utmost concern. We present a case of migration of IUCD into bladder and bowel. A 23 years old lady presented with early pregnancy with IUCD insitu, on examination diagnosed to be misplaced copperT, laparotomy performed to recover the copperT which had perforated the bladder and bowel.

Intrauterine Contraceptive Device Migration to the Lower Urinary Tract: Report of 2 Cases

Several instances of migration of intrauterine contraceptive devices (IUDs) into the bladder have been reported. Non–contrast-enhanced computed tomography enables excellent visualization of the sites of migrated IUDs. Herein are reported 2 cases of IUDs that migrated to the lower urinary tract. In the first case, the IUD migrated to the bladder. The site of the migrated IUD was accurately determined using 3-dimensional ultrasound. In the second case, the IUD migrated through the bladder to the opening of the urethra. Both cases were managed endoscopically, with excellent outcome. Three-dimensional ultrasound is an alternative method for localization of the site of a migrated IUD. We present the first case of an IUD migrating through the bladder to the opening of the urethra. Endoscopic retrieval is feasible and safe in cases with an intravesically migrated IUD.

Intrauterine Contraceptive Device Migration Presenting as Abdominal Wall Swelling: A Case Report

A number of complications are reported with the use of intrauterine contraceptive devices. These may pursue asymptomatic course or present as an acute abdomen after migration into peritoneal cavity. The authors here are reporting an abdominal wall swelling caused by transuterine migration of a copper intrauterine contraceptive device in a 28-year-old female. An open approach was used, and impacted foreign body was retrieved.

Case of the Month #167: Intrauterine Contraceptive Device Migration to the Descending Sigmoid Colon After Uterine Perforation

This case study reports on a 38-year-old woman with a 10-month history of a change in bowel habits and abdominal pain. It provides her diagnosis - intrauterine contraceptive device migration to the descending sigmoid colon and discusses radiologic surgical and pathological findings of her case.

A Forgotten Migrated Intrauterine Contraceptive Device Is Not Always Innocent: A Case Report

The incidence of transuterine perforation and migration of intrauterine contraceptive devices (IUCDs) into the abdominal cavity has been estimated at less than 0.1%. It has been suggested that intraperitoneal IUCD have low morbidity and may be left in situ. We report the first case of closed loop small bowel obstruction due to migration of a “Saf-T-Coil” IUCD into the abdominal cavity, where it became embedded in the omentum and ultimately, 31 years after deployment, coiled both arms around a loop of ileum. This late complication underlines the dangers of intra-abdominal foreign bodies, even when chemically and biologically inert.

Foreign body granuloma in the anterior abdominal wall mimicking an acute appendicular lump and induced by a translocated copper-T intrauterine contraceptive device: a case report

IntroductionIntrauterine contraceptive devices may at times perforate and migrate to adjacent organs. Such uterine perforation usually passes unnoticed with development of potentially serious complications.Case presentationA 25-year-old woman of North Indian origin presented with an acute tender lump in the right iliac fossa. The lump was initially thought to be an appendicular lump and treated conservatively. Resolution of the lump was incomplete. On exploratory laparotomy, a hard suspicious mass was found in the anterior abdominal wall of the right iliac fossa. Wide excision and bisection of the mass revealed a copper-T embedded inside. Examination of the uterus did not show any evidence of perforation. The next day, the patient gave a history of past copper-T Intrauterine contraceptive device insertion.ConclusionsCopper-T insertion is one of the simplest contraceptive methods but its neglect with inadequate follow-up may lead to uterine perforation and extra-uterine migration. Regular self-examination for the "threads" supplemented with abdominal X-ray and/or ultrasound in the follow-up may detect copper-T migration early. To the best of our knowledge, this is the first report of intrauterine contraceptive device migration to the anterior abdominal wall of the right iliac fossa.