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Unusual association of diseases/symptoms
Chronic kidney disease after vesico-vaginal stone formation around a migrated intrauterine device
  1. R Karsmakers1,
  2. A E Weis-Potters2,
  3. Guido Buijs1,
  4. E B Joustra1
  1. 1Department of Urology, Deventer Hospital, Deventer, The Netherlands
  2. 2Department of Gynaecology, Deventer Hospital, Deventer, The Netherlands
  1. Correspondence to E B Joustra, R.Karsmakers{at}


Although the intrauterine device (IUD) seems a reliable and relatively safe method of contraception, it may cause serious complications. A rare complication is uterus perforation. Intravesical migration and secondary calculus formation is exceptionally uncommon. The authors report on a 75-year-old woman in whom a ‘forgotten’ migrated IUD resulted in vesico-vaginal fistula formation and chronic kidney disease, 39 years after insertion.

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  • Competing interests None.

  • Patient consent Obtained.