title: Intravesical migration of an intrauterine device.
abstract: BACKGROUND
  Intrauterine contraceptive device is the most common method of reversible contraception in women. The intrauterine contraceptive device can perforate the uterus and can also migrate into pelvic or abdominal organs. Perforation of the urinary bladder by an intrauterine contraceptive device is not common. In West Africa, intravesical migration of an intrauterine contraceptive device has been rarely reported. In this report, we present a case of an intrauterine contraceptive device migration into the urinary bladder of a 33 year old African woman at the Komfo Anokye Teaching Hospital, Kumasi, Ghana.
  
  
  METHODS
  A 33 year old African woman presented with persistent urinary tract infection of 7 months duration despite appropriate antibiotic treatments. An abdominal ultrasonography revealed a urinary bladder calculus which was found to be an intrauterine contraceptive device on removal at cystoscopy. She got pregnant whilst having the intrauterine contraceptive device in place and delivered at term.
  
  
  CONCLUSIONS
  The presence of recurrent or persistent urinary tract infection in any woman with an intrauterine contraceptive device should raise the suspicion of intravesical migration of the intrauterine contraceptive device.
authors.affiliation: Department of Surgery, School of Medical Sciences, KNUST, Kumasi, Ghana. gaysek@yahoo.com.
authors.forename: Christian Kofi
authors.initials: CK
authors.lastname: Gyasi-Sarpong
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. kwamemaison@yahoo.co.uk.
authors.forename: Patrick Opoku Manu
authors.initials: PO
authors.lastname: Maison
authors.affiliation: Department of Obstetrics and Gyneacology, School of Medical Sciences, KNUST, Kumasi, Ghana. eskmorhe@yahoo.com.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Morhe
authors.affiliation: Department of Surgery, School of Medical Sciences, KNUST, Kumasi, Ghana. surgksi@yahoo.com.
authors.forename: Ken
authors.initials: K
authors.lastname: Aboah
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. addaiarhin@yahoo.com.
authors.forename: Kwaku Addai-Arhin
authors.initials: KA
authors.lastname: Appiah
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. azor72@yahoo.com.
authors.forename: Roland
authors.initials: R
authors.lastname: Azorliade
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. knyamekyedr@yahoo.com.
authors.forename: Kofi
authors.initials: K
authors.lastname: Baah-Nyamekye
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. kuuku01@yahoo.com.
authors.forename: Kwaku
authors.initials: K
authors.lastname: Otu-Boateng
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. lionamoah1@yahoo.com.
authors.forename: George
authors.initials: G
authors.lastname: Amoah
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. antwi.isaac@gmail.com.
authors.forename: Isaac
authors.initials: I
authors.lastname: Antwi
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. lordtonkas@yahoo.co.uk.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Frimpong-Twumasi
authors.affiliation: Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana. dagarthur@yahoo.com.
authors.forename: Douglas
authors.initials: D
authors.lastname: Arthur
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D014463:Ultrasonography; D001743:Urinary Bladder / Q000473:pathology*