Presentation
Asymptomatic. Cancer staging study.
Patient Data
Age: 70 years
Gender: Female
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Intra-abdominal "S" shaped metallic-density structure just below the anterior abdominal wall.
Typical "Lippes loop" intra-uterine device shape
Case Discussion
Migration of an intrauterine device is rare and most often asymptomatic and incidentally discovered. The diagnostic delay can be a few years (in cases secondary to a "Lippes loop" implant, the delay in diagnosis could be up to 50 years!)
The most common mechanism for an intra-abdominal IUP is uterine perforation during placement, however progressive myometrial erosion is also possible.