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Transmigrated intrauterine device discovered 17 years after its insertion
T Bartalena1, E Pascali, M F Rinaldi
1Department of Radiology, S. Orsola University Hospital, Bologna, Italy. t.bartalena@email.it
Australasian Radiology
|December 6, 2007
Summary
An intrauterine device (IUD) was found in the abdomen on X-ray 17 years after insertion. This occurred due to a uterine perforation during the initial IUD placement.
Area of Science:
- Radiology
- Gynecology
- Medical Imaging
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Uterine perforation is a rare complication of IUD insertion.
Observation:
- An intraperitoneal IUD was incidentally discovered during lumbar spine X-rays.
- Computed tomography (CT) confirmed the device's abdominal location.
Findings:
- The intraperitoneal IUD was secondary to an asymptomatic uterine perforation.
- The perforation occurred at the time of IUD insertion 17 years prior.
Implications:
- This case highlights the importance of imaging in identifying retained foreign bodies.
- Delayed diagnosis of uterine perforation can occur.
- Long-term asymptomatic complications of IUDs are possible.
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