PMC5308026_01
Intravenous urography series film at 30 min showing an intrauterine contraceptive device in the left ureter line with no excretion of contrast in the left ureter, very much suggestive of obstructed the left renal unit
UA-9-103-g001.jpg
PMC5308026_01_UA-9-103-g001.jpg
F1
An intravenous urography (IVU) done that suggested left kidney was poorly excretory and left ureter was poorly traceable due to impinged IUCD [Figures 1 and 2].
Delayed film of intravenous urography series showing appearance of some contrast in calyces though no contrast in the left pelvis and ureter, suggestive of obstructed left renal unit with poor and delayed function
UA-9-103-g002.jpg
PMC5308026_01_UA-9-103-g002.jpg
F2
An intravenous urography (IVU) done that suggested left kidney was poorly excretory and left ureter was poorly traceable due to impinged IUCD [Figures 1 and 2].
Cystoscopic view showing impinged arm of intrauterine contraceptive device perforating into the left lower ureter just proximal to the left vesicoureteric junction and peeping through it
UA-9-103-g003.jpg
PMC5308026_01_UA-9-103-g003.jpg
F3
Cystoscopy confirmed the perforated arm of IUCD in lower ureter just proximal to the left vesicoureteric junction (VUJ) [Figure 3].
The retrieved intrauterine contraceptive device
UA-9-103-g004.jpg
PMC5308026_01_UA-9-103-g004.jpg
F4
It was a copper-containing IUCD (TCu 380A) [Figure 4] which was removed along with the strictured portion of the left lower ureter.