A CASE OF MISPLACEMENT OF CU-IUCD INTO BLADDER PRESENTED WITH SECONDARY VESICAL CALCULUS

Intravesical migration of cu-iucd is an uncommon but serious complication of intrauterine contraceptive device. Calculus formation is common over such migrated/misplaced intrauterine contraceptive devices.This dreaded complication usually presents with lower urinary tract symptoms such as supra pubic pain, frequency, and nocturia.We present a case of a 55-year-old woman with intravesical migration of copper-T device placed in the immediate postpartum period 30 years ago. She presented with dysuria, usg revealed vesical calculus and ct revealed cu iucd in pelvic area with vesical calculus.The misplaced device was encrusted with a 1.8cm-sized stone near base of bladder. Surprisingly, the patient never had symptoms and hence she never followed up for 30 years. The copperiucd could not be removed endoscopically, and therefore an open vesicolithotomy was performed. This case has been presented to highlight the signicance of following up patients with intrauterine contraceptive device to avoid potentially devastating complications.