Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery

Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted f...

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Main Authors: Ankit Vyas, Alhad Mulkalwar, Kamlesh Singh, Sujata Patwardhan
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2023-05-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=May-June&volume=12&issue=3&page=SC04%20-%20SC05&id=2894
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author Ankit Vyas
Alhad Mulkalwar
Kamlesh Singh
Sujata Patwardhan
author_facet Ankit Vyas
Alhad Mulkalwar
Kamlesh Singh
Sujata Patwardhan
author_sort Ankit Vyas
collection DOAJ
description Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted for a Lower Segment Caesarean Section (LSCS) in view of a history of LSCS. Dense adhesions were noticed between the posterior wall of urinary bladder and uterus. A foreign body was also palpable in the bladder. The limb of an IUCD (Copper T) was seen through a rent in the bladder wall, via which it was removed in its entirety. As asymptomatic cases missed by routine scans can occur, Magnetic Resonance Imaging (MRI) may have a role to play in dubious cases of pregnancy having a history of IUD insertion which wasn’t removed.
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spelling doaj.art-65958bcfccde4ff5b9dc93b3bba821b82023-05-02T09:56:21ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742023-05-01123SC04SC0510.7860/IJARS/2023/61164.2894Asymptomatic Intravesical Migration of an Intrauterine Device Detected during DeliveryAnkit Vyas0Alhad Mulkalwar1Kamlesh Singh2Sujata Patwardhan3Resident, Department of Urology, Seth GSMC and KEMH, Mumbai, Maharashtra, India. Intern, Department of Urology, Seth GSMC and KEMH, Pune, Maharashtra, India.Resident, Department of Urology, Seth GSMC and KEMH, Mumbai, Maharashtra, India. Professor and Head, Department of Urology, Seth GSMC and KEMH, Mumbai, Maharashtra, India. Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted for a Lower Segment Caesarean Section (LSCS) in view of a history of LSCS. Dense adhesions were noticed between the posterior wall of urinary bladder and uterus. A foreign body was also palpable in the bladder. The limb of an IUCD (Copper T) was seen through a rent in the bladder wall, via which it was removed in its entirety. As asymptomatic cases missed by routine scans can occur, Magnetic Resonance Imaging (MRI) may have a role to play in dubious cases of pregnancy having a history of IUD insertion which wasn’t removed.https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=May-June&volume=12&issue=3&page=SC04%20-%20SC05&id=2894contraceptionforeign bodyuterine perforation
spellingShingle Ankit Vyas
Alhad Mulkalwar
Kamlesh Singh
Sujata Patwardhan
Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
International Journal of Anatomy Radiology and Surgery
contraception
foreign body
uterine perforation
title Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
title_full Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
title_fullStr Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
title_full_unstemmed Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
title_short Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
title_sort asymptomatic intravesical migration of an intrauterine device detected during delivery
topic contraception
foreign body
uterine perforation
url https://ijars.net/article_fulltext.aspx?issn=0973-709x&year=2023&month=May-June&volume=12&issue=3&page=SC04%20-%20SC05&id=2894
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AT alhadmulkalwar asymptomaticintravesicalmigrationofanintrauterinedevicedetectedduringdelivery
AT kamleshsingh asymptomaticintravesicalmigrationofanintrauterinedevicedetectedduringdelivery
AT sujatapatwardhan asymptomaticintravesicalmigrationofanintrauterinedevicedetectedduringdelivery