Migrated IUCD

Case contributed by Hala Maher

Presentation

Pelvic pain and discharge 3 weeks after IUCD insertion.

Patient Data

Age: 35 years
Gender: Female
ultrasound

Pelvic U/S scan showing empty uterus with a hyperechoic linear structure located anteriorly and to the right side of the pelvis suggesting the missed IUCD.

x_ray

Palin X-ray done for screening and showing the missed IUD in the midline and inclined to the right side of the pelvis; the same location suspected in the U/S scan.

Case Discussion

Uterine perforation after IUCD insertion is not a common complication. However; it is a serious condition that should be treated to avoid any consequent bowel injury.

The U/S is the first tool for IUCD screening and misplaced detection.

Conventional x-ray is the second tool that detected the site of migrated IUCD.

IUCD migration warrants laparoscopic intervention.

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