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Year :2023
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Month :
May-June
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Volume :
12
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Issue :
3
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Page :
SC04 - SC05
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Asymptomatic Intravesical Migration of an Intrauterine Device Detected during Delivery
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Correspondence Address :
Ankit Vyas, Alhad Mulkalwar, Kamlesh Singh, Sujata Patwardhan, Dr. Alhad Mulkalwar,
Intern, Department of Urology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai-400012, Maharashtra, India.
E-mail: alhad.mulkalwar@gmail.com
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Introduction: Intrauterine Contraceptive Devices (IUCD) are known to be associated with many complications; however, uterine perforation with migration into adjacent soft tissue is rarely observed. The authors report a rare case of a 31-year-old full-term pregnant female who presented in labour and was posted for a Lower Segment Caesarean Section (LSCS) in view of a history of LSCS. Dense adhesions were noticed between the posterior wall of urinary bladder and uterus. A foreign body was also palpable in the bladder. The limb of an IUCD (Copper T) was seen through a rent in the bladder wall, via which it was removed in its entirety. As asymptomatic cases missed by routine scans can occur, Magnetic Resonance Imaging (MRI) may have a role to play in dubious cases of pregnancy having a history of IUD insertion which wasn’t removed.
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