Missing IUD Despite Threads at the Cervix
Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Phys...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/916143 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841524682427203584 |
|---|---|
| author | Andrew L. Atkinson Jonathan D. Baum |
| author_facet | Andrew L. Atkinson Jonathan D. Baum |
| author_sort | Andrew L. Atkinson |
| collection | DOAJ |
| description | Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Physician visualization and/or the patient feeling retrieval threads at the cervical os are confirmation that the IUD has not been expelled or migrated. We present a case of a perforated, intraperitoneal IUD with threads noted at the cervical os. Office removal was not possible using gentle traction on the threads. Multiple imaging and endoscopic modalities were used to try and locate the IUD including pelvic ultrasound, diagnostic hysteroscopy, cystoscopy, and pelvic magnetic resonance imaging (MRI). The studies gave conflicting results on location of the IUD. Ultimately, the missing IUD was removed via laparoscopy. |
| format | Article |
| id | doaj-art-4cd59b1948004a6a83f40ae6753da414 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-4cd59b1948004a6a83f40ae6753da4142025-02-03T05:47:35ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/916143916143Missing IUD Despite Threads at the CervixAndrew L. Atkinson0Jonathan D. Baum1Department of Obstetrics and Gynecology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USADepartment of Obstetrics and Gynecology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USAToday, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications. Physician visualization and/or the patient feeling retrieval threads at the cervical os are confirmation that the IUD has not been expelled or migrated. We present a case of a perforated, intraperitoneal IUD with threads noted at the cervical os. Office removal was not possible using gentle traction on the threads. Multiple imaging and endoscopic modalities were used to try and locate the IUD including pelvic ultrasound, diagnostic hysteroscopy, cystoscopy, and pelvic magnetic resonance imaging (MRI). The studies gave conflicting results on location of the IUD. Ultimately, the missing IUD was removed via laparoscopy.http://dx.doi.org/10.1155/2014/916143 |
| spellingShingle | Andrew L. Atkinson Jonathan D. Baum Missing IUD Despite Threads at the Cervix Case Reports in Obstetrics and Gynecology |
| title | Missing IUD Despite Threads at the Cervix |
| title_full | Missing IUD Despite Threads at the Cervix |
| title_fullStr | Missing IUD Despite Threads at the Cervix |
| title_full_unstemmed | Missing IUD Despite Threads at the Cervix |
| title_short | Missing IUD Despite Threads at the Cervix |
| title_sort | missing iud despite threads at the cervix |
| url | http://dx.doi.org/10.1155/2014/916143 |
| work_keys_str_mv | AT andrewlatkinson missingiuddespitethreadsatthecervix AT jonathandbaum missingiuddespitethreadsatthecervix |