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Lost intrauterine contraceptive device inserted 42 years before: a case report
S D Sezer1, A R Odabaşi, M Küçük
1Department of Obstetrics and Gynecology, Adnan Menderes University, Aydm, Turkey. sdemircan@adu.edu.tr
Clinical and Experimental Obstetrics & Gynecology
|April 14, 2011
Summary
For intrauterine contraceptive devices (IUDs) lost in the abdomen, especially when asymptomatic, surgical risks versus non-surgical follow-up should be carefully weighed. Long-term abdominal presence of an IUD is possible without complications.
Area of Science:
- Reproductive Health
- Medical Device Management
- Case Study Analysis
Background:
- Intrauterine contraceptive devices (IUDs) are highly effective, safe, and affordable contraception methods widely used in Turkey.
- Uterine perforation during IUD insertion can lead to abdominal complications or asymptomatic long-term presence.
Observation:
- A case of a woman with an intrauterine contraceptive device (IUD) found in her abdomen 42 years after insertion is presented.
- This represents the longest documented period an IUD has remained localized in the abdomen, detected via X-ray.
Findings:
- The patient remained asymptomatic despite the prolonged abdominal presence of the IUD.
- The management of abdominal IUDs requires careful consideration of potential risks.
Implications:
- For asymptomatic patients with abdominal IUDs, a thorough discussion of surgical versus non-surgical management is crucial.
- Non-surgical follow-up may be a viable alternative approach in select cases of abdominal IUDs.
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