Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation

Abstract Background Intrauterine contraceptive device (IUD) is an effective and safe method for reversible long-acting contraception. The incidence of perforation at insertion time has been reported to be 1.3 to 1.6 per 1000 insertions. Although considered a rare complication, it can cause serious c...

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Main Author: Mohamed Dawood
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-025-01533-x
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author Mohamed Dawood
author_facet Mohamed Dawood
author_sort Mohamed Dawood
collection DOAJ
description Abstract Background Intrauterine contraceptive device (IUD) is an effective and safe method for reversible long-acting contraception. The incidence of perforation at insertion time has been reported to be 1.3 to 1.6 per 1000 insertions. Although considered a rare complication, it can cause serious complications that can require surgical intervention to retrieve the missing IUD. Presentation of case We present the case of a 37-year-old female patient who had a history of three IUD insertions, one of which went missing and was found years later in the subcutaneous tissue of the lower anterior abdominal wall causing chronic sinus formation for 4 years. Conclusion Uterine perforation and migration is an uncommon complication of IUDs and should be considered in all missing IUD threads. Accurate diagnosis and proper management are essential to prevent major complications.
format Article
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institution Kabale University
issn 2090-4762
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series The Egyptian Journal of Radiology and Nuclear Medicine
spelling doaj-art-e3ca249ffce4442788d3690f039c8ccc2025-08-20T03:46:04ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622025-07-015611510.1186/s43055-025-01533-xLost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formationMohamed Dawood0Ain Shams University HospitalAbstract Background Intrauterine contraceptive device (IUD) is an effective and safe method for reversible long-acting contraception. The incidence of perforation at insertion time has been reported to be 1.3 to 1.6 per 1000 insertions. Although considered a rare complication, it can cause serious complications that can require surgical intervention to retrieve the missing IUD. Presentation of case We present the case of a 37-year-old female patient who had a history of three IUD insertions, one of which went missing and was found years later in the subcutaneous tissue of the lower anterior abdominal wall causing chronic sinus formation for 4 years. Conclusion Uterine perforation and migration is an uncommon complication of IUDs and should be considered in all missing IUD threads. Accurate diagnosis and proper management are essential to prevent major complications.https://doi.org/10.1186/s43055-025-01533-xIUDUterine perforation and migrationAnterior abdominal wallSinus formationSubcutaneous tissue
spellingShingle Mohamed Dawood
Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
The Egyptian Journal of Radiology and Nuclear Medicine
IUD
Uterine perforation and migration
Anterior abdominal wall
Sinus formation
Subcutaneous tissue
title Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
title_full Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
title_fullStr Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
title_full_unstemmed Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
title_short Lost and found: a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
title_sort lost and found a rare case of subcutaneous migration of neglected missing intrauterine contraceptive device complicated by anterior abdominal wall chronic sinus formation
topic IUD
Uterine perforation and migration
Anterior abdominal wall
Sinus formation
Subcutaneous tissue
url https://doi.org/10.1186/s43055-025-01533-x
work_keys_str_mv AT mohameddawood lostandfoundararecaseofsubcutaneousmigrationofneglectedmissingintrauterinecontraceptivedevicecomplicatedbyanteriorabdominalwallchronicsinusformation