Uterine wall perforation anol subsequent bladder damage by T-shaped Intrauterine device
- VernacularTitle:Т-хэлбэрийн ерөндөг умай хана, давсагийг гэмтээж чулуу үүсгэсэн тохиолдол
- Author:
Nomin E
1
;
Ganzorig B
1
;
Munkhtsetseg E
1
;
Mungunsukh U
1
;
Dashjantsan G
1
Author Information
1. Regional Diagnostic Treatment Center, Uvurkhangai aimag
- Publication Type:Case Reports
- From:Mongolian Medical Sciences
2025;214(4):68-71
- CountryMongolia
- Language:Mongolian
-
Abstract:
Intrauterine devices (IUDs) are often considered a form of contraception by women of
reproductive age because of their reversible, effective, safe, and convenient nature. However,
its complications include bleeding, infection, displacement, and uterine perforation. Effective
contraception can minimize the risk of unintended pregnancy, particularly for women who
have additional health risks associated with unintended pregnancy. Intrauterine device (IUD)
is considered to be a highly effective and reversible method of contraception (long-acting
reversible contraceptives) that is suitable for most women, highly effective, affordable, and
requires minimum patient compliance [1]. Despite being infrequent, perforation constitutes
a significant complication associated with IUD insertion, with an estimated incidence of
0.8–2.2 per 1,000 insertions [2, 3]. Ultrasound is the preferred diagnostic modality in cases
where partial embedding of the IUD is suspected. However, when the IUD extends near or
beyond the uterine serosa, radiologists can more confidently diagnose embedding [4]. The
patient is a 44-year-old woman with four children. She gave birth for the first time in 1997.
A contraceptive device was inserted in 1999, and another was placed four months after her
2009 delivery. She does not recall the date when she had the latter device removed and
has no record of having seen it. This case represents a rare instance of secondary bladder
stone formation resulting from migration of an intrauterine device (T-shaped IUD) into the
bladder. Rapid diagnostic methods, including ultrasonography, CT, and cystoscopy, along
with endoscopic surgical intervention, proved to be the most effective approach for both
diagnosis and treatment.
- Full text:2026070408113938959MAUS-2025-214(4)-68-71.pdf
