Open AccessEndoscopic Removal of an Intrauterine Device in the Left Distal Ureter
Author(s) -
Young Suk Kwon,
Tomas Paneque,
Abha Chandra,
Kevin Chua,
Faizanahmed Munshi,
Bridget L. Findlay,
Keith A Harmon
Publication year - 2020
Publication title -
journal of endourology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 1
ISSN - 2379-9889
DOI - 10.1089/cren.2020.0076
Subject(s) - medicine , foreign body , ureter , surgery , dysuria , presentation (obstetrics) , pelvic pain , abdominal pain , renal colic , intrauterine device , urinary system , population , family planning , anatomy , research methodology , alternative medicine , pathology , environmental health
Background: Intrauterine device (IUD) migration to the ureter is rare. Symptoms can vary, but often mimic renal colic. Radiographic imaging may aid the diagnosis of a foreign body in the ureter. Reports on endoscopic managements of a migrated IUD are not well described. Case Presentation: We present a 36-year-old woman with a history of IUD insertion. Her symptoms included hematuria, dysuria, and suprapubic/abdominal pressure. After the removal of her IUD by her gynecologist, her hematuria eventually stopped, but she presented again with persistent pain. CT revealed a radiopaque foreign body in the distal left ureter protruding into the bladder. A careful resection with a resectoscope uncovered a long cylindrical shaped foreign body, suspicious of a broken piece of the IUD. Conclusion: Although not always feasible and long-term results remain to be determined, endoscopic management is a safe and effective method of identifying and removing a retained IUD in the ureter. When evaluating a woman with abdominal pain who has an indwelling IUD, a spontaneous migration of the IUD should be considered in the differential diagnosis.