Vesical Calculus with Migrated IUCD as a Nidus.

Abstract

Introduction: Intrauterine contraceptive devices are a popular form of contraceptive due to lack of systemic side effects. However, there may be significant local adverse effect including migration. We describe a case of bladder calculi with an IUCD as a nidus. Case presentation: A 37 year old woman presented with storage lower urinary tract symptoms for 2 years with associated lower abdominal pain. She had an IUCD inserted 6 years earlier and presented to her primary care provider for removal once symptoms started and was reassured it had been removed. Symptoms persisted and she had several treatment for recurrent urinary tract infections. Ultrasound revealed bladder stone and she had open vesicolithotomy done which revealed an IUCD attached to a bladder stone. Patient has since been asymptomatic. Conclusion: Female patients with bladder stone and a history of IUCD insertion should have cystoscopy to exclude migration of IUCD into the bladder.