African Journal of Urology (Oct 2021)

Giant vesical calculus associated with migrant IUCD: a case report

  • Shoaib Muhammad,
  • Amman Yousaf,
  • Mihir Tejanshu Shah,
  • Rabia Nazim,
  • Arif Qayyum

DOI
https://doi.org/10.1186/s12301-021-00245-8
Journal volume & issue
Vol. 27, no. 1
pp. 1 – 3

Abstract

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Abstract Background Intrauterine copper devices are a popular type of contraceptives, being in use for a long time. Migration of IUCD into the bladder is one of the many side effects of this contraceptive measure. Though a rare phenomenon, IUCD acting as a foreign body can cause stone formation in the bladder. Case presentation We present a 42-year-old female patient who presented with increased urinary frequency, dysuria, and suprapubic pain. Examination showed mild tenderness in the suprapubic region. On X-ray pelvis, she was found to have a giant stone covering IUCD in the bladder. She ultimately underwent cystolithotomy, and her IUCD with stone was removed. Consequently, she was discharged on the 4th postoperative day with a satisfactory condition. Conclusion Vesical calculus can form following migration of IUCD in the bladder. This article highlights the importance of careful insertion and follow-up investigation of IUCD. Radiological modalities like X-rays pelvis provide excellent visualization of the IUCD and can be used to confirm the accurate location of the contraceptive device.

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