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The long lost IUD.

Michael A Fortunato1

  • 1Family Medicine Residency Program, Wheeling Hospital, USA.

The West Virginia Medical Journal
|March 4, 2008
PubMed
Summary
This summary is machine-generated.

A lost intrauterine device (IUD) was discovered in a patient over 35 years after insertion, highlighting a rare clinical scenario. Management guidelines for such cases are notably absent in current medical literature.

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Area of Science:

  • Gynecology
  • Radiology
  • Gastroenterology

Background:

  • A 65-year-old female outpatient presented with upper gastrointestinal bleeding.
  • An abdominal scout film revealed an intrauterine device (IUD) in the right lower quadrant.
  • The patient had a history of total abdominal hysterectomy (TAH).

Purpose of the Study:

  • To address the rare clinical challenge of managing a lost intrauterine device (IUD) discovered incidentally over 35 years post-insertion.
  • To investigate the existing literature for guidance on managing a perforated IUD in a patient with a history of hysterectomy.

Main Methods:

  • A comprehensive literature search was conducted using EBSCO, identifying 24 articles.
  • Only 5 articles were found to be relevant, with 4 lacking English translation.

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  • Medical databases like UpToDate were reviewed for information on "lost IUDs".

    • Main Results:

    • The literature search yielded very limited relevant information on managing a long-retained, potentially perforated IUD.
    • No articles specifically addressed the management of an IUD found more than 35 years after insertion.
    • Standard medical resources lacked specific guidance for "lost IUD" scenarios.

    Conclusions:

    • The management of a long-term retained IUD, especially after hysterectomy, presents a significant clinical gap.
    • Further research and case reports are needed to establish best practices for such uncommon situations.
    • This case underscores the importance of considering incidental findings and the limitations of current medical knowledge in rare gynecological scenarios.