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Related Experiment Video

Updated: Jun 6, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

Pelvic mass due to transmigrated IUD.

Nadereh Behtash¹, Setareh Akhavan, Sara Mokhtar

¹Department of Gynecology Oncology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. nadbehtash@yahoo.com

Acta Medica Iranica

|December 8, 2010

Summary

Intrauterine devices (IUDs) can rarely perforate the uterus and migrate. A displaced IUD was found in the cul-de-sac, associated with an organized hematoma presenting as a pelvic mass.

Area of Science:

Gynecology
Radiology
Surgical Pathology

Background:

Intrauterine devices (IUDs) are common contraceptives.
Uterine perforation and extrauterine migration are rare IUD complications.

Observation:

A 29-year-old woman presented with vaginal bleeding and a pelvic mass on ultrasound.
CT scan confirmed the pelvic mass, leading to laparotomy.
The surgical findings revealed an IUD in the cul-de-sac and an organized hematoma.

Findings:

The transmigrated IUD was identified as the cause of the pelvic mass.
The pelvic mass was characterized as an organized hematoma secondary to IUD migration.

Implications:

This case highlights a rare presentation of IUD complication.

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Transmigrated IUDs should be considered in the differential diagnosis of pelvic masses.

Accurate diagnosis and surgical intervention are crucial for managing such cases.