Giant vesical calculus associated with migrant IUCD: a case report

• Main Authors: Shoaib Muhammad, Amman Yousaf, Mihir Tejanshu Shah, Rabia Nazim, Arif Qayyum
• Format: Article
• Language: English
• Published: SpringerOpen 2021-10-01
• Series: African Journal of Urology
• Subjects: IUCD migration; Bladder stone; Vesical calculus
• Online Access: https://doi.org/10.1186/s12301-021-00245-8

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.