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Migrated intrauterine contraceptive device

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Missing IUCD string and vague abdominal pain

Patient Data

Age: 40 years
Gender: Female

Migration of an IUCD outside the uterus, into the peritoneal cavity, in the anterior cul-de-sac, uterus is normal-sized and the endometrial cavity is empty.

Case Discussion

IUCD-related silent uterine perforation.

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