Uterine lithiasis triggered by an intrauterine contraceptive device: A case report and literature review.
Akihiro Ikeda, Yuki Iida, Masayuki Ito et al.
✦ AI-curated · Sources linked
Case in brief
A 78-year-old woman presented with abnormal uterine bleeding and abdominal distention. Imaging revealed calcifications from the cervix to the bladder, indicating a vesicouterine fistula. A uterine calculus containing a Y-shaped intrauterine device (IUD) and a bladder stone was found. The patient underwent an abdominal hysterectomy, bladder stone removal, and fistula repair, leading to an uneventful recovery.
What made this case unusual
This case is notable for the identification of uterine lithiasis associated with an intrauterine contraceptive device, a condition not previously reported in the literature.
Diagnostic / clinical pearl
Clinicians should be aware of the potential for rare complications, such as uterine calculi, associated with intrauterine devices, particularly in patients presenting with abnormal bleeding.
Why it matters
This case underscores the necessity for monitoring IUDs and the importance of recognizing atypical presentations that may indicate serious complications.