Is Extra-uterine Migrated IUCD Always Innocent?
Received: 10-Jan-2019 / Accepted Date: 12-Feb-2019 / Published Date: 19-Feb-2019 DOI: 10.4172/2167-7964.1000305
Introduction
A 50-years-old hypertensive post-menopausal female presented with right flank pain. Her past history was insignificant. Ultrasound abdomen showed right gross hydronephrosis. X-ray kidney, ureter and bladder revealed a T-shaped radio density overlying the upper border of sacrum at L5-S1 level. Detailed record revealed that she had history of ‘lost’ intrauterine contraceptive device (IUCD) 30 years back after 2 years of its insertion. Routine CBC, biochemistry and renal function were normal (Figure 1). Contrast CT revealed surprising finding of right non-excretory kidney with gross hydroureteronephrosis and IUCD which was not present in the uterus but migrated outside and lying at level of upper sacrum along the course of right ureter (Figures 2 and 3). Extra-uterine migration of IUCD is very well-known adverse event. However, a migrated IUCD causing ureteric obstruction is an extremely rare and disastrous event.
Figure 1: Showing displaced IUCD causing right non functioning kidney.
Figure 2: Showing IUCD obstruction mid ureter.
Figure 3: Showing displaced IUCD.
Citation: Parmar K, Manoharan V, Chandna A, Mavuduru R (2019) Is Extra-uterine Migrated IUCD Always Innocent?. OMICS J Radiol 8:306. DOI: 10.4172/2167-7964.1000305
Copyright: © 2019 Parmar K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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