Rafique M, Zaidi A I.
Vesical stone formation around a partially migrated Intrauterine Contraceptive Device.
J Pak Med Assoc Jan ;53(7):313-4.

A 35 years old lady presented to the urology outpatient department with 2 months history of increased urinary frequency, dysuria and suprapubic pain. She also had intermittent mild hematuria of same duration. Her general physical examination was normal. Routine urinalysis revealed numerous pus cells and red blood cells. An X-ray plain KUB showed an intra-uterine contraceptive device with calcification on the horizontal limbs. The patient had copper "T" IUCD placed 3 years ago. As per records the device was correctly placed in uterus and the procedure was uncomplicated. At vaginal examination performed by a gynecologist, the thread of the IUCD was not seen at the cervical os. An intravenous urography was carried out which showed the device to be in the bladder. On post micturition film there was suspicion that the device was not completely present in the bladder. Cystoscopy was carried out. There was calulus formation on the horizontal limbs of IUCD while its vertical limb was still embedded in the uterus. The device was retrieved intact endoscopically (Figure 3). A foley catheter was retained. Her postoperative recovery was uneventful and she was discharged home after a week.

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