Migration of an intra-uterine contraceptive device into the bladder with calculus formation: A case report

The intrauterine contraceptive device (IUCD) is one of the most common contraceptives available for women of reproductive age. However, its migration into adjacent viscera is a rare complication that predominantly occurs in resource-poor settings. We present a 42-year-old woman who had an IUCD inserted seven years before the presentation and subsequently had a neglected, missing IUCD. She had irritative lower urinary tract symptoms for 6 months and eventually underwent urethrocystoscopy and open retrieval of the IUCD, which had a secondary calculus formation. This case report highlights the need for proper training of healthcare workers in developing countries to ensure correct IUCD insertion. In addition, patients who cannot palpate the IUCD strings should undergo prompt radiologic investigations to prevent its migration into adjoining viscera.