Bladder calculus resulting from an intravesical translocation of intrauterine contraceptive device in a postmenopausal woman

Abstract

Although perforation of the uterus by an intrauterine contraceptive device (IUCD) is commonly encountered, intravesical translocation and secondary calculus formation is a very rare complication.We report a case of a 60-year old multiparous woman in whom an intrauterine contraceptive Copper-T device inserted 12 years earlier translocated from the uterus to the bladder and resulted in formation of a calculus.Diagnosis was established with pelvic ultrasonography and plain abdominal radiograph.The cystoscopic removal was not successful due to the large size of the calculus.The patient later underwent cystolithotomy.Sonographic follow-up immediately after the insertion and at six month intervals will go a long way in early detection of any possible complications.

Keywords: Intravesical,calculus,translocation,contraceptive