PMC5628558_01
Plain abdominal radiograph showing a T-shaped object with calculus formation in the pelvis (arrow).
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A plain abdominal radiograph showed the presence of a T-shaped IUD with calculus formation in the pelvis (Fig. 1).
A CT image of the intrauterine device that migrated into the bladder wall (arrow).
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CT revealed a vesical stone fixed to the top of the bladder wall, and there was no vesicovaginal fistula formation (Fig. 2).
(A) An image showing a bladder stone surrounding the intrauterine device; (B) an image showing the removed intrauterine device.
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She underwent endoscopic laser lithotripsy (laser settings: Ho:YAG laser, energy = 2.0 J/pulse, rate = 10 Hz, total energy = 6.29 kJ) under general anesthesia (Fig. 3A). With gentle traction, the IUD was extracted easily from the bladder wall and was removed (Fig. 3B).