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BMC Research Notes

, 9:4



BackgroundIntrauterine contraceptive device is the most common method of reversible contraception in women. The intrauterine contraceptive device can perforate the uterus and can also migrate into pelvic or abdominal organs. Perforation of the urinary bladder by an intrauterine contraceptive device is not common. In West Africa, intravesical migration of an intrauterine contraceptive device has been rarely reported. In this report, we present a case of an intrauterine contraceptive device migration into the urinary bladder of a 33 year old African woman at the Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Case reportA 33 year old African woman presented with persistent urinary tract infection of 7 months duration despite appropriate antibiotic treatments. An abdominal ultrasonography revealed a urinary bladder calculus which was found to be an intrauterine contraceptive device on removal at cystoscopy. She got pregnant whilst having the intrauterine contraceptive device in place and delivered at term.

ConclusionThe presence of recurrent or persistent urinary tract infection in any woman with an intrauterine contraceptive device should raise the suspicion of intravesical migration of the intrauterine contraceptive device.

KeywordsIntrauterine contraceptive device Intravesical migration UTI AbbreviationsIUCDintrauterine contraceptive device

KATHKomfo Anokye Teaching Hospital

UTIurinary tract infection

E. coliEscherichia coli

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Autor: Christian Kofi Gyasi-Sarpong - Patrick Opoku Manu Maison - Emmanuel Morhe - Ken Aboah - Kwaku Addai-Arhin Appiah - Roland


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