Presentation
Dysuria, frequency and urgency. The patient gave a past history of missed IUD strings, went to gynecologic clinics with insertion of another one.
Patient Data
Age: 35 years
Gender: Female
From the case:
Extra-uterine migrated IUCD
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There is metallic dense IUD like structure is seen migrated outside the uterus embedded along antero-superior urinary bladder wall with intra-vesical extension.
Another note is made of intra-uterine IUD in situ.
Case Discussion
The incidence of trans-uterine perforation and migration of IUCDs into the peritoneal cavity has been estimated at less than 0.1%. So routine pelvic X-ray before IUD placement is recommended especially if the patient gave history of spontaneous expulsion of old one.
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