Kabilan Vidhyalakshmi Ramadoss, Prabhu J Karthiga, Thiagarajan Senthilkumar, Muthulingam Divyabharathi, Priyankaa N Yashwanthini
Department of Obstetrics and Gynaecology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.
Department of Urology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.
J Midlife Health. 2025 Apr-Jun;16(2):221-223. doi: 10.4103/jmh.jmh_84_25. Epub 2025 Jun 23.
Intrauterine contraceptive device (IUD) is one of the most commonly used long-term contraceptive methods worldwide. Migration of IUD is one of the rare complications of IUD insertion. Migrated IUD with calculus formation is a rarer long-term complication of IUD. A 55-year-old postmenopausal woman attended the outpatient clinic with complaints of continuous dribbling of urine. On examination, there was pooling of urine in the posterior fornix of the vagina, and the calcified vertical stem of the IUD was visualized through the cervical os. On evaluation, a giant calculus was noted within the bladder arising from the perforated IUD arm with vesicouterine fistula. Vesical lithotripsy followed by fistulous tract excision with repair of bladder wall was done.
宫内节育器（IUD）是全球最常用的长效避孕方法之一。IUD移位是IUD置入罕见的并发症之一。伴有结石形成的移位IUD是IUD更罕见的长期并发症。一名55岁绝经后女性因持续性尿滴沥到门诊就诊。检查发现阴道后穹窿有尿液积聚，通过宫颈口可看到IUD钙化的垂直杆。评估时发现膀胱内有一个巨大结石，由穿孔的IUD臂引起，并伴有膀胱子宫瘘。进行了膀胱碎石术，随后切除瘘管并修复膀胱壁。
