DOUBLE INTRAUTERINE DEVICE PRESENTED W TH PROTRUDING URETHRAL STONE.docVIP

CASE REPORT DOUBLE INTRAUTERINE DEVICE: PRESENTED WITH PROTRUDING URETHRAL STONE Engin Kand?ral? , Mehmet Ata Topcuoglu , Atilla Semerci?z , Ahmet Metin1 1 2 1 1 Abant ?zzet Baysal üniversitesi, ?zzet Baysal T?p Fakültesi, üroloji AD, Bolu, Türkiye Abant ?zzet Baysal 2 üniversitesi, ?zzet Baysal T?p Fakültesi, Kad?n Hast. Do?um AD, Bolu, Türkiye ABSTRACT Intrauterine devices (IUDs) are widely used for reversible contraception. Perforation of the uterus and migration of the device into the retroperitoneal or abdominal cavity is a major but an infrequent complication. We present this report to highlight two interesting aspects of this case: One is that two IUDs were present simultaneously and second is that the patient presented with urethral stone after an asymptomatic period of 10 years. Keywords: Migrated intrauterine device; Bladder stone; Complication üRETRA TA?I ?LE BA?VURAN ??FT: ?NTRAUTER?N ARA? ?ZET ?ntrauterin ara?lar do?um kontrol y?ntemi olarak s?k kullan?lmaktad?r. Uterus perforasyonu ve intrauterin arac?n yer de?i?tirmesi seyrek g?rülen ciddi bir komplikasyondur. Burada üretra ta?? bulgusuyla ba?vuran hastada saptanan ?ift intraüterin ara? vakas? sunulmu?tur. Anahtar Kelimeler: ?ntrauterin ara?, Mesane ta??, Komplikasyon INTRODUCTION CASE REPORT The intrauterine device (IUD) is a highly A 34-year-old woman, gravida 4, para 3, effective, safe, cheap, and widely used abortion 1, presented with protruding urethral reversible contraception method. A major but stone attached to a string. The patient’s infrequent complication of IUD is perforation medical history revealed that a copper-T IUD of the uterus and migration of the device into had been inserted in 1995, 6 months the retroperitoneal or abdominal cavity. Many following her second normal vaginal delivery. authors have reported extrauterine mislocated She had