Forgotten Lippes Loop associated with Endometrial Carcinoma

Abstract

Patients with a forgotten intrauterine device (IUD) present most often with irregular vaginal bleeding or postmenopausal bleeding. We report a case of nonmedicated IUD (Lippes loop) associated with endometrial adenocarcinoma in a woman who presented with postmenopausal bleeding and a forgotten IUD. Although the occurrence of endometrial adenocarcinoma with IUD is almost unknown, yet given the serious nature of the disease, endometrial sampling is indicated in any patient with postmenopausal bleeding and IUD in situ.

Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature

“…In developing countries like India, due to lack of access to healthcare facilities, it is not uncommon to see patients with a forgotten IUD presenting years later with abnormal vaginal bleeding or discharge. An event like this may be the first contact for the person with health facility & one should ensure that such opportunities should not be missed [31].…”