Users Online : 530 About us |  Subscribe |  e-Alerts  | Feedback | Login   |   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
 
UNUSUAL CASE
Ahead of Print

A rendezvous technique using laparoscopy and cystoscopy to remove transmigrated intrauterine contraceptive device from abdomen and urinary bladder


1 Department of Surgery, Apollo Hospitals, Guwahati, Assam, India
2 Department of Obstetrics and Gynecology, Apollo Hospitals, Guwahati, Assam, India
3 Department of Surgery, Haflong Civil Hospital, Haflong, Assam, India
4 Department of Anaesthesiology, Haflong Civil Hospital, Assam, India

Correspondence Address:
Elbert Khiangte,
Niribili Complex, House No.-6, Borsojai, Bhetapara, Assam, Guwahati-28
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_216_21

Intrauterine contraceptive devices (IUCDs) are the most commonly used reversible contraceptive methods. Uterine perforation followed by transmigration is a rare but potentially life-threatening complication associated with the use of IUCDs. Perforation of the bladder by an IUCD is extremely rare. We present the case of a 36-year-old woman with a 3-year history of IUCD placement presenting with symptoms of lower urinary tract infection. X-ray of the pelvis and hysteroscopy revealed an inverted T-shaped metallic shadow resembling an IUCD in the pelvis and an empty uterine cavity, respectively. Using a cystoscope, the IUCD was visualized embedded in the urinary bladder and its retrieval was attempted unsuccessfully with the cystoscope. Hence a rendezvous technique, in which laparoscopy, assisted with cystoscopy was performed. The vertical limb and half of the horizontal limb of the copper-T were retrieved from the outer wall of the urinary bladder laparoscopically, and the intravesical part of the horizontal limb along with the calculus was retrieved per urethra.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Khiangte E
    -  Khiangte IN
    -  Naiding Nn
    -  Deka K
    -  Bathari R
    -  Doungel JH
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed243    
    PDF Downloaded4    

Recommend this journal

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04