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Case report A 22-year old woman with three children was admit­ ted with a history of lower abdominal and vaginal pain of 9 months' duration. Pain was felt at the end of micturition and during walking. During this period she had repeated courses of antibiotics for urinary tract infection, but the pain persisted despite laboratory evidence of adequate treatment. When a psychiatry referral was planned in her local hospital she sought admission to the National Hos­ pital of Sri Lanka, where a radiograph showed a copper-T intrauterine device in the lower abdomen. An ultrasound study confirmed this to be in the bladder.

An intrauterine device in the bladder mimicking urinary tract infection