case_images: PMC9883666_01
case_images: Large calculus perforating bladder wall.
case_images: whr.2022.0099_figure1.jpg
case_images: PMC9883666_01_whr.2022.0099_figure1.jpg
case_images: f1
case_images: Intraoperatively, the urologist called for this gynecologist's aide when the calculus was found to perforate the lateral bladder wall with a foreign body therein (Fig. 1).
case_images: 3.5-cm bladder calculus with protruding IUD. IUD, intrauterine device.
case_images: whr.2022.0099_figure2.jpg
case_images: PMC9883666_01_whr.2022.0099_figure2.jpg
case_images: f2
case_images: The calculus was incised and a Lippes Loop identified (Figs. 2 and 3).
case_images: Lippes Loop IUD with fragmented bladder calculus.
case_images: whr.2022.0099_figure3.jpg
case_images: PMC9883666_01_whr.2022.0099_figure3.jpg
case_images: f3
case_images: The calculus was incised and a Lippes Loop identified (Figs. 2 and 3).
case_images: PMC9883666_02
case_images: PMC9883666_03
case_images: Encrusted GyneFix 330 copper IUD.
case_images: whr.2022.0099_figure4.jpg
case_images: PMC9883666_03_whr.2022.0099_figure4.jpg
case_images: f4
case_images: IUD unfamiliar to this gynecologist (Fig. 4). It was identified as a GyneFix 330 copper frameless IUD.
case_images: PMC9883666_04
case_images: Three-dimensional ultrasound image: arrow points to IUD fragment, 0.10 cm below the endometrial surface and 1.0 cm from the internal os ("CX"), localized to the right myometrium ("RT").
case_images: whr.2022.0099_figure5.jpg
case_images: PMC9883666_04_whr.2022.0099_figure5.jpg
case_images: f5
case_images: Transvaginal three-dimensional ultrasound showed the arm embedded in the myometrium, but below the endometrial mucosal surface (Fig. 5). The embedded fragment was 16 mm long.
case_images: Hysteroscopic image: shorn IUD fragment visible at right lateral myometrium.
case_images: whr.2022.0099_figure6.jpg
case_images: PMC9883666_04_whr.2022.0099_figure6.jpg
case_images: f6
case_images: Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
case_images: Hysteroscopic image: IUD arm partially pulled out of myometrium. Corroded copper coils visible.
case_images: whr.2022.0099_figure7.jpg
case_images: PMC9883666_04_whr.2022.0099_figure7.jpg
case_images: f7
case_images: Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
case_images: Fractured Copper T380A arm, 1.6 cm length with coil corrosion.
case_images: whr.2022.0099_figure8.jpg
case_images: PMC9883666_04_whr.2022.0099_figure8.jpg
case_images: f8
case_images: Using hysteroscopy, the fragment was detected and extracted with a grasper under direct vision (Figs. 6-8).
case_images: PMC9883666_05
case_images: IUD strings egressing punctum, separate, and peripheral from the normal cervical os.
case_images: whr.2022.0099_figure9.jpg
case_images: PMC9883666_05_whr.2022.0099_figure9.jpg
case_images: f9
case_images: This time, the strings were found protruding through the cervical stroma via a small punctum, 1 cm-peripheral to her cervical os (Fig. 9).
case_images: Intact Kyleena IUD, removed.
case_images: whr.2022.0099_figure10.jpg
case_images: PMC9883666_05_whr.2022.0099_figure10.jpg
case_images: f10
case_images: The IUD strings retracted into the uterus and then out the cervical os, along with her intact Kyleena (Fig. 10).