[Migration of an intrauterine contraceptive device into the urinary bladder: report of one case].
OBJECTIVE
To report one case of uterine perforation and migration into the urinary bladder of an intrauterine contraceptive device.


RESULTS
42-year-old female patient who presents with lower urinary tract irritative syndrome in association to recurrent urinary tract infection. Ultrasound revealed apart of an intrauterine device inside the bladder, device which was inserted years before and was supposed to have come out spontaneously. Urethrocystoscopy with extraction of the intravesical segment and hysteroscopy with extraction of the intrauterine segment were carried out.


CONCLUSIONS
The postoperative period was satisfactory and patient is currently asymptomatic. Radiological or ultrasound controls should be performed in the follow-up of patients with intrauterine contraceptive devices. The inability to locate an intrauterine contraceptive device in a patient who did not realize it coming out should be considered an uterine perforation until proved otherwise.
Coronel Sánchez
Belén
B
Servicio de Urología, Hospital Universitario Dr. Peset, Valencia, España. tentien@hotmail.com
Sánchez Sanchis
Manuel J
MJ
Carrascosa Lloret
Víctor
V
Beltrán Armada
José Ramón
JR
Rodrigo Guanter
Vicente
V
Tarín Planes
Miguel
M
San Juan de Laorden
Carlos
C
D000328:Adult; D003558:Cystoscopy / Q000379:methods; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D011860:Radiography, Abdominal; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000473:pathology*; D014595:Uterine Perforation / Q000000981:diagnostic imaging / Q000209:etiology*