Migration of two IUDS, with one intra bladder, removed by hysteroscopy and cystoscopy: A case report

Abstract

Insertion of an intrauterine device is a common gesture in gynecological practice. This gesture is simple and reproducible. However it can leads to serious complications such as uterine perforation but also migrate into the abdominal cavity to result in an adjacent organ injury such as the bladder and inlets. If migration IUD is into the bladder, dysuria, and chronic pelvic pain are the found symptoms. Faced with a suspected ectopic IUD, pelvic ultrasound examination is the first line followed by the X-ray of abdomen required. When migration is suspected, hysteroscopy and cystoscopy allows not only to diagnose but also to achieve the removal of the IUD. We report a case of migration of two IUDs both removed by hysteroscopy and cystoscopy at the same patient.