Devassy, Rajesh and Gopalakrishnan, Sreelatha and Torres de la Roche, Luz Angela and Verhoeven, Hugo and Wilde, Maya and Wilde, Rudy Leon de (2016) The missing intrauterine device. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5 (10). pp. 3587-3589. ISSN 2320-1770

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The Intrauterine Contraceptive Device (IUD) is an acceptable and common form of contraception worldwide. The objective of this study was to report the case of an asymptomatic missing intrauterine contraceptive (IUD) inserted to prevent intrauterine adhesions after synechiolysis. A patient presented with missing IUD threads. Ultrasound of the pelvis showed an empty uterine cavity with the missing IUD probably anterior to the uterus. We present a stepwise approach in the management of the “lost IUD”, where the strings of the device are not visible at the time of speculum examination. We suggest first determining sonographically whether the IUD is within the cavity. If it is in situ, options for retrieval are including hysteroscopic retrieval. If the IUD is not within the cavity, X-rays are recommended. The device will not be present on X-ray if expulsion has occurred. If the device is present on the X-ray, cystoscopic or laparoscopic retrieval is required. IUD-providers should not only screen potential users and insert IUD correctly, but also ensure adequate follow-up with localization.

Item Type: Article
Additional Information: Publiziert mit Hilfe des DFG-geförderten Open Access-Publikationsfonds der Carl von Ossietzky Universität Oldenburg.
Uncontrolled Keywords: IUD, Intrauterine device migration, Laparoscopy, Device removal
Subjects: Technology, medicine, applied sciences > Medicine and health
Divisions: Faculty of Medicine and Health Sciences > Department of Human Medicine
Date Deposited: 20 Sep 2017 08:01
Last Modified: 15 Dec 2017 09:25
URN: urn:nbn:de:gbv:715-oops-33495
DOI: 10.18203/2320-1770.ijrcog20163449

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