Operative management of intrauterine device complications: a case series report

Safe and cost-effective ultrasound guided removal of retained intrauterine device: our experience

“…The majority of cases in which ultrasound imaging reported an "embedded" IUD did not result in a more challenging removal nor were any special techniques necessary in order to do so. Thus, it is worth an attempt at in-office removal even if ultrasound suggests that the IUD may be embedded in the myometrium [13]. Another advantage of IUD removal under US guidance in patients with concomitant pregnancy and missing strings is that the location of the IUD in relationship to the pregnancy can be carefully assessed and if deemed safe, removal can be performed with more precision; thus with lower risk of disrupting the pregnancy.…”

“…In-office removal is effective, safe, cost effective, and is successful in most of the cases with lost strings [12]. Traditionally when IUD removal in the office setting is unsuccessful, the patient is scheduled for hysteroscopic IUD removal in the operating room [13].…”

Translocation of Postplacental Intrauterine Device: A Rare Complication

“…We present this case of dislodgement of PPIUD up to the upper abdomen, or more specifically in the anterior parietal peritoneum above the umbilicus embedded within omentum which can occur rarely. When recognized, an IUD that has perforated the uterus should be removed promptly because a displaced IUD will not prevent an unintended pregnancy anymore and can cause bowel perforation, obstruction, or adhesions [7,8].…”

The Role of Ultrasound in the Assessment of Intrauterine Device Complications

“…7 If the strings are not visible in the first-trimester then ultrasound or hysteroscopic-guided removal is the safest option if it is feasible. 6,7 In the early second-trimester, ultrasound analysis is needed to guide the clinical decision, if the strings are not visible. In the second-trimester, if the IUD is not in the gestational sac, in or behind the placenta, then removal is feasible.…”

“…If the IUD cannot be found then intraoperative X-ray or conversion to laparotomy becomes necessary. 6,7 The management of an indwelling IUD during pregnancy is dependent on the trimester and IUD location. After the confirmation of an intrauterine pregnancy, one of the first steps is an ultrasound assessment to determine the location of the IUD and perform a fetal assessment.…”