Doctors make surprise find after woman complains of groin pain

Doctors have discovered the unusual cause behind why a woman had ongoing groin pain and blood in her urine.

The woman, 47, from London, presented to the urology department complaining of pain in her groin during sex, blood in her urine and discomfort in the left part of her abdomen, according to her case published in Case Reports in Women’s Health.

“A T-shaped intrauterine contraceptive copper-bearing device had been inserted 10 years previously at the time of a termination of pregnancy,” researchers wrote.

“She had had two children delivered via caesarean section. She was not taking any regular medication.”

She underwent an ultrasound and doctors found a bladder stone. Doctors noted her blood tests were “unremarkable”.

An abdominal X-ray of a woman, 47, is pictured.
An X-ray of the woman's abdomen with the contraceptive device seen. Source: Case Reports in Women's Health

A CT scan found the IUCD was “relatively low in relation to the body of the uterus”.

Doctors found the lateral arm of the contraceptive device had “perforated the posterior wall” of the woman’s bladder.

The arm of the IUCD also had an 11mm bladder stone formed around it.

The woman was placed under anaesthetic and her IUCD was removed but not before doctors used a laser to break down the stone.

A CT scan shows a T-shaped intrauterine contraceptive copper-bearing device perforating a woman's posterior bladder.
A CT scan shows the contraceptive device had pierced the bladder wall with a stone attached to it. Source: Case Reports in Women's Health

Doctors wrote that she is currently using an alternative method of contraception.

In concluding, doctors said IUCDs are still “an effective and reliable method of contraception”.

“However, asymptomatic or symptomatic uterine perforation and erosion into adjacent organs have been reported,” they wrote.

“Management of this case required a structured, multidisciplinary approach, which successfully avoided the need for a more complicated open, reconstructive procedure, in keeping with the patient's wishes.”

A T-shaped intrauterine contraceptive copper-bearing device is pictured.
The contraceptive device after its removal. Source: Case Reports in Women's Health

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