Pregnancy with intrauterine contraceptive device

Case contributed by Mostafa Elfeky
Diagnosis certain


History of intrauterine contraceptive device insertion 2 years earlier

Patient Data

Age: 30 years
Gender: Female

Antenatal scan 20 wk gestation


A single healthy fetus of 20 weeks gestation with cephalic presentation.

The contraceptive device is noted at the lower uterine segment just above the cervix in subamniotic location. No penetration to amniotic sac or the uterine wall. It is well-visualized with its T-shaped appearance.

Case Discussion

Retained missed IUCD with pregnancy raise the possibilities of adverse pregnancy outcomes like miscarriage, intrauterine growth retardation, intrauterine fetal death, preterm birth and preterm premature rupture of membranes.

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