PMC9883666_01
Large calculus perforating bladder wall.
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Intraoperatively, the urologist called for this gynecologist's aide when the calculus was found to perforate the lateral bladder wall with a foreign body therein (Fig. 1).
3.5-cm bladder calculus with protruding IUD. IUD, intrauterine device.
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The calculus was incised and a Lippes Loop identified (Figs. 2 and 3).
Lippes Loop IUD with fragmented bladder calculus.
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The calculus was incised and a Lippes Loop identified (Figs. 2 and 3).
PMC9883666_02
PMC9883666_03
Encrusted GyneFix 330 copper IUD.
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IUD unfamiliar to this gynecologist (Fig. 4). It was identified as a GyneFix 330 copper frameless IUD.
PMC9883666_04
Three-dimensional ultrasound image: arrow points to IUD fragment, 0.10 cm below the endometrial surface and 1.0 cm from the internal os ("CX"), localized to the right myometrium ("RT").
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Transvaginal three-dimensional ultrasound showed the arm embedded in the myometrium, but below the endometrial mucosal surface (Fig. 5). The embedded fragment was 16 mm long.
Hysteroscopic image: shorn IUD fragment visible at right lateral myometrium.
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Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
Hysteroscopic image: IUD arm partially pulled out of myometrium. Corroded copper coils visible.
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Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
Fractured Copper T380A arm, 1.6 cm length with coil corrosion.
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Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
PMC9883666_05
IUD strings egressing punctum, separate, and peripheral from the normal cervical os.
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This time, the strings were found protruding through the cervical stroma via a small punctum, 1 cm-peripheral to her cervical os (Fig. 9).
Intact Kyleena IUD, removed.
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The IUD strings retracted into the uterus and then out the cervical os, along with her intact Kyleena (Fig. 10).