E-ISSN 2757-8062
Volume: 53 Issue: 1 Year: 2022

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Removal of An Intrauterine Device Migrated to the Bladder with Cystoscopy in the Second Trimester [Zeynep Kamil Med J]
Zeynep Kamil Med J. 2018; 49(2): 223-225 | DOI: 10.16948/zktipb.390265

Removal of An Intrauterine Device Migrated to the Bladder with Cystoscopy in the Second Trimester

Emin Erhan Dönmez1, Hatice Dülek2, Murat Özdamar1, Gültekin Köse1, Orhan Koca3
1Haydarpaşa Numune Training and Research Hospital, Gynecology and Obstetrics Clinic, Istanbul
2Haydarpaşa Numune Training and Research Hospital, Family Medicine, Istanbul
3Haydarpaşa Numune Training and Research Hospital, Urology Clinic, Istanbul

With this case study, we intended to discuss the patient management during pregnancy after the migration of an intrauterine device (IUD) to the bladder which is a rare complication of IUDs. A 20 year old 15 weeks pregnant woman with 3 a history of 3 vaginal births and 4 pregnancies presented to our outpatient clinic with complaints for recurring dysuria, hematuria, and difficulty in walking. It was found out that an IUD had been inserted in the patient 6 weeks after her second normal vaginal birth in 2013; and then the patient got pregnant for the third time and she was told that the IUD had fallen out and therefore she got pregnant again and then received infection treatment for recurring hematuria, dysuria and inguinal pain and that her complaints subsided after the third delivery but had similar complaints that emerged earlier in her fourth pregnancy. A single live fetus compatible with 15 weeks and echoes caused by a IUD in the bladder lumen were observed during the obstetric ultrasonography of the patient. IUD was removed with cystoscopy. Patients who have a history of IUD insertion and for whom no IUD was detected during their follow up examinations should be evaluated in detail and further examinations should be performed to localise the IUDs.Uterine perforation should be considered if IUDs cannot be viewed in the uterine cavity.

Keywords: intrauterine device, intravesical migration, pregnancy

Emin Erhan Dönmez, Hatice Dülek, Murat Özdamar, Gültekin Köse, Orhan Koca. Removal of An Intrauterine Device Migrated to the Bladder with Cystoscopy in the Second Trimester. Zeynep Kamil Med J. 2018; 49(2): 223-225

Corresponding Author: Emin Erhan Dönmez, Türkiye
Manuscript Language: English
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