Presentation
Lost IUCD 8 years ago. No abdominal or pelvic pain. Presented for IUCD localization.
Patient Data
Intrauterine device near the anteroinferior abdominal wall at S2-S4 level with penetration of its stem into the linea alba halfway between the umbilicus and the symphysis pubis, surrounded by subtle fibrotic tissue without evidence of fat stranding, air foci or fluid collection.
Otherwise, unremarkable study.
Case Discussion
IUCDs are a commonly used form of contraception worldwide. Migration of the IUCD from its normal position is a frequently encountered complication, varying from displacement into the endometrial canal to uterine perforation.
Complete uterine perforation, in which the IUCD is partially or completely within the peritoneal cavity, requires surgical management.
Careful evaluation for intra-abdominal complications is also important, since they may warrant urgent or emergent surgical intervention.
The radiologist plays an important role in the diagnosis of IUCD migration and should be familiar with its appearance at multiple imaging modalities.
Unable to process the form. Check for errors and try again.