Four cases of heterotopia of an intrauterine device embedded in the bladder muscular layer causing cystolithiasis: case report and review of the literature

Colonoscopic removal of an intrauterine device with rectal perforation: A case report

RATIONALE

The intrauterine device is one of the effective, safe, convenient, economical, and reversible contraceptive methods. Although its contraceptive effect is definite, some female patients may experience complications such as expulsion, bleeding, and pregnancy with the device in place. Rectal perforation is one of the rare and serious complications, which can lead to complications such as abdominal infection and intestinal adhesions, severely affecting the quality of life of patients.

PATIENT CONCERNS

A 34-year-old female was sent to the Department of Gastroenterology with noticeable left lower quadrant abdominal pain. She had presented with abdominal discomfort and anal tenesmus 1 year earlier. Two months ago, her abdominal pain had gradually worsened and she was presented to our hospital.

DIAGNOSES

Investigations, including colonoscopy and computed tomography scan, had revealed an intrauterine device migrated and perforated into the rectum.

INTERVENTIONS AND OUTCOMES

The patient underwent successful colonoscopic removal of the intrauterine device. She recovered well after the treatment.

LESSONS

This case proves that endoscopic therapy can be considered the preferred method for removing intrauterine devices displaced into the digestive tract lumen.

Long-Term Retained Lippes Loop Intrauterine Device Causes Vesicouterine Fistula

This case report discusses a 77-year-old female patient who presented to an outpatient clinic with urinary symptoms and recurrent UTIs. Imaging revealed a foreign body, which was later confirmed as a retained intrauterine device (IUD) that had caused a vesicouterine fistula (VUF). The patient had a medical history of cervical cancer treated with radiation therapy, during which her IUD's string could not be located, leading to the decision to proceed with radiation therapy without removing the IUD. The patient opted to manage her condition medically rather than undergo surgical removal due to concerns about worsening the vesicouterine fistula. This case highlights the potential risks and complications of retained IUDs, and the importance of careful consideration and communication among clinical teams and patients when managing these situations.

Migrated Hem-o-Lok clips in the neobladder with giant stone formation: a case report

INTRODUCTION

Neobladder urolithiasis is a rare but important delaying complication of orthotopic urinary diversion. We report a case of Hem-o-Lok (HOLC) migration into the neobladder with giant stone formation after orthotopic neobladder cystectomy.

CASE REPORT

We report a case of a 57-year-old man with frequent urination and occasional discharge of stones 3 years after a laparoscopic orthotopic neobladder cystectomy. Computed tomography revealed a large round 3.5 cm calculus. An endoscopic neocystolitholapaxy was performed, and a Hem-o-Lok was found in the center of the stone.

CONCLUSION

We described the case presentation, treatment and analysis of etiology of stone formation to avoid such complication.

Intra uterine device migrating into the bladder with stone formation

An intrauterine device (IUD) perforating the uterus and bladder and creating a nidus for stone formation is rarely described in the international literature. A 50-year-old woman was referred to our department for 6 months history of suprapubic pain and pollakiuria without fever. Ultrasound, X-ray examination and abdominopelvic scanner confirmed an IUD perforating the uterus and the bladder. The stone on the perforating ectopic IUD was successfully removed with YAG Holmium Laser and the IUD was extracted without complications with the aid of a transurethral resectoscope.