# From Contraception to Calculus: An Unusual Case of Intrauterine Contraceptive Device (IUCD) Migration to the Bladder, Recovering Nine Years Post-insertion

## TL;DR

A contraceptive device migrated to a woman's bladder over nine years and was removed as a calculus, highlighting the need for regular check-ups.

## Contribution

This case report documents an exceptionally rare instance of IUCD migration to the bladder with calculus formation over a nine-year period.

## Key findings

- The IUCD migrated to the bladder and formed a calculus without embedding in the bladder walls.
- The patient remained asymptomatic for nine years despite the migration.
- Laparotomy successfully removed the calculus, emphasizing the importance of radiological investigations.

## Abstract

Uterine perforations caused by intrauterine contraceptive devices (IUCDs) have been rarely documented in medical literature. However, the migration of these devices into the bladder (intravesical migration), resulting in calculus formation, is an exceptionally uncommon occurrence. When intravesical migration happens, the IUCD may be found lodged in the bladder. In this particular case, the presence of the IUCD was detected within the bladder in the form of calculus, notably without adhering or embedding in the bladder walls. Despite being inserted nine years prior, the patient underwent seven normal deliveries without complications and remained asymptomatic concerning urinary issues until the last two years before presentation. The calculus was successfully removed from the urinary bladder via a laparotomy performed by gynecologists. This case underscores the essential role of radiological investigations and regular follow-ups in patients who report conception after IUCD insertion, as they aid in confirming the potential migration of the device and facilitate timely intervention for removal.