Skip to main content Accessibility help
×
Hostname: page-component-7c8c6479df-ws8qp Total loading time: 0 Render date: 2024-03-29T12:27:06.172Z Has data issue: false hasContentIssue false

Case 71 - A 21-Year-Old Woman with an Intra-abdominal IUD

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 21-year-old gravida 2, para 1011 presents to the outpatient office for missing intrauterine device (IUD) strings following IUD insertion. The patient had an IUD placed at her six-week postpartum visit. She noted increased discomfort with this IUD placement compared with the one she had prior to the pregnancy. She also noted increased bleeding immediately following the procedure. Since placement she has had unprovoked intermittent abdominal discomfort that is sharp in nature and self resolves. She denies changes in her bowel or bladder habits and reports her menstrual cycles are short, one to three days, occurring monthly. Her past medical history is significant for depression and postpartum endometritis. Her past surgical history is significant for right anterior cruciate ligament repair. She is not taking any medications and she has no allegies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 216 - 218
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rowlands, S, Oloto, E, Horwell, D. Intrauterine devices and risk of uterine perforation: current perspectives. Open Access J Contracept 2016; 7: 1932.CrossRefGoogle ScholarPubMed
Sharifiaghdas, F, Beigi, FM, Abdi, H. Laparoscopic removal of a migrated intrauterine device. Urol J 2007; 4: 177–9.Google ScholarPubMed
Zakin, D, Stern, WZ, Rosenblatt, R. Complete and partial perforation and embedding following insertion of intrauterine devices. I. Classification, complications, mechanism, incidence, and missing string. Obstet Gynecol Surv 1981; 36: 335–53.Google ScholarPubMed
Peri, N, Graham, D, Levine, D. Imaging of intrauterine contraceptive devices. J Ultrasound Med 2007; 26(10): 1389–401.CrossRefGoogle ScholarPubMed
Heinemann, K, Reed, S, Moehner, S, Minh, TD. Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception 2015; 91: 274–9.Google Scholar
Gill, RS, Mok, D, Hudson, M, et al. Laparoscopic removal of an intra-abdominal intrauterine device: case and systematic review. Contraception 2012; 85: 1518.CrossRefGoogle ScholarPubMed
Benacerraf, BR, Shipp, TD, Bromley, B. Three-dimensional ultrasound detection of abnormally located intrauterine contraceptive devices which are a source of pelvic pain and abnormal bleeding. Ultrasound Obstet Gynecol 2009; 34(1): 110–15.CrossRefGoogle ScholarPubMed
World Health Organization (WHO) Mechanism of action, safety, and efficacy of intrauterine devices. Report of a WHO Scientific Group. World Health Organ Tech Rep Ser 1987; 753: 191.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×