Presentation
Missed IUCD. The patient couldn't feel the threads. No abdominal or pelvic pain.
Patient Data
Age: 25 years
Gender: Female
From the case:
IUCD related silent uterine perforation
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Frontal

The IUCD is seen within the anterior lower abdominal cavity, anterior to the upper sacrum, above the persumed site of the uterus.
From the case:
IUCD related silent uterine perforation

The IUCD is not seen within the uterine cavity. A double walled hyperechoic structure is seen 6 cm above the uterus within the anterior lower abdominal cavity, compatible with IUCD. A small amount of pelvic fluid is also seen.
Case Discussion
This is a case of IUCD related uterine perforation, which is a rare but serious complication of an IUCD insertion, and is often silent.