PMC5883851_01
Coronal reformatted abdominopelvic computed tomography scan showing the horizontal limb of the T-shaped intrauterine contraceptive device in the peritoneal cavity adjacent to the sigmoid colon (solid red arrow)
NJS-24-48-g001.jpg
PMC5883851_01_NJS-24-48-g001.jpg
F1
Abdominopelvic computerized axial tomographic scan showed an IUCD at the dome of the urinary bladder with a portion of it in the perivesical space adjacent to the sigmoid colon and the remaining portion being intravesical forming about 1.4 cm dense area of nodular calcification [Figures 1 and 2].
Computerized axial tomographic scan of the pelvis showing: The vertical limb of the T-shaped intrauterine contraceptive device with calculus formed around it (red solid arrow with black outline) the transverse limb of the intrauterine contraceptive device located intraperitoneally (white arrow with red outline)
NJS-24-48-g002.jpg
PMC5883851_01_NJS-24-48-g002.jpg
F2
Abdominopelvic computerized axial tomographic scan showed an IUCD at the dome of the urinary bladder with a portion of it in the perivesical space adjacent to the sigmoid colon and the remaining portion being intravesical forming about 1.4 cm dense area of nodular calcification [Figures 1 and 2].
Laparoscopic view of the intrauterine contraceptive device after dissecting the omentum from it the point of exit of the intrauterine contraceptive device from the fundus of the bladder (black solid arrow with green outline). The intrauterine contraceptive device could not be retrieved due to the intravesical calculus attached to the distal part of the vertical limb and thread of the intrauterine contraceptive device
NJS-24-48-g003.jpg
PMC5883851_01_NJS-24-48-g003.jpg
F3
Laparoscopy showed omental adhesion to an intraperitoneal IUCD above the dome of the urinary bladder adjacent to the sigmoid colon with difficulty in pulling out the IUCD due to the intravesical calculus attachment [Figure 3]. The point of urinary leakage from the bladder into the peritoneal cavity after removal of the IUCD was closed using vicryl suture [Figure 3].
Cystoscopic view of the stone and intrauterine contraceptive device thread in the bladder. Intravesical calculus formed around the vertical limb and the thread of intrauterine contraceptive device (white solid arrow with red outline). Thread of the intrauterine contraceptive device (nonfill arrow with black outline)
NJS-24-48-g004.jpg
PMC5883851_01_NJS-24-48-g004.jpg
F4
IUCD [Figure 4]. Intracorporeal pneumatic cystolithotripsy was done, only then was the IUCD retrievable through the 10mm laparoscopic port.