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Case Reports
. 2014 May 14:2014:bcr2013202522.
doi: 10.1136/bcr-2013-202522.

Migration of intrauterine devices with radiological findings: report on two cases

Hediye Pinar Gunbey  1 , Asli Tanrivermis Sayit  2 , Ilkay Sedakat Idilman  3 , Onur Aksoy  4
Affiliations
Case Reports

Migration of intrauterine devices with radiological findings: report on two cases

Hediye Pinar Gunbey et al. BMJ Case Rep. .

Abstract

Intrauterine devices (IUDs) are one of the most reliable and cheapest contraception methods. Our aims are to evaluate misplaced IUDs with radiological findings and to emphasise the importance of radiological imaging. We report two cases with radiological findings, one of complete migration to the abdomen without colonic perforation and one of partial migration to the bladder lumen with pregnancy. Uterine perforation and migration of IUDs are rare and undesirable complications. Suspected intra-abdominal IUDs can be evaluated with CT for precise localisation and possible complications without pregnancy.

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Figures

Figure 1
Figure 1
Transabdominal ultrasonography showed hyperechogenic misplaced intrauterine device partially embedded in the wall of the cervix and extended to the bladder lumen.
Figure 2
Figure 2
Transabdominal ultrasonography showed approximately 5 weeks gestational sac in the uterine cavity.
Figure 3
Figure 3
Abdominal-pelvic radiography revealed misplaced intrauterine device in the left lower quadrant.
Figure 4
Figure 4
Abdominal CT demonstrated misplaced intrauterine device in the pericolic fatty tissue adjacent to the descending colon.
See this image and copyright information in PMC

References

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