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[The hidden intrauterine device]

K Schumann, W Heidenreich, H Riedel

    Fortschritte Der Medizin
    |November 3, 1977
    PubMed
    Summary
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    Hidden intrauterine devices (IUDs) can occur due to various reasons. Localization is typically achieved through imaging, and removal is often non-surgical, though pregnancy may necessitate termination for removal.

    Area of Science:

    • Reproductive health
    • Medical imaging
    • Minimally invasive procedures

    Context:

    • Intrauterine devices (IUDs) are common contraceptives.
    • Complications can arise, including IUDs becoming hidden within the uterus.
    • Reasons for hidden IUDs include tail disappearance, unnoticed expulsion, or uterine perforation.

    Purpose:

    • To discuss the causes and diagnostic methods for hidden intrauterine devices (IUDs).
    • To outline management strategies for locating and removing non-visible IUDs.
    • To address the implications of hidden IUDs in cases of pregnancy.

    Summary:

    • Hidden intrauterine devices (IUDs) result from tail retraction, unnoticed expulsion, or uterine perforation.
    • Sonography, X-ray, and uterine cavity probing are key localization techniques.

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  • Most cases allow for non-hospitalized removal; surgery is rare. Pregnancy with a hidden IUD often requires pregnancy termination for device removal.

    • Impact:

    • Improves diagnostic accuracy for misplaced IUDs.
    • Facilitates conservative management, reducing the need for surgical intervention.
    • Provides guidance on managing IUD complications during pregnancy, prioritizing patient safety.