Prolonged retention of the Lippes loop intrauterine device as a cause of vaginal bleeding 10 years after chemoradiotherapy of locally advanced cervical carcinoma: case report and review of the literature

Gottwald, Leszek; Moszyńska-Zielińska, Małgorzata; Zytko, Leszek; Tomalczyk, Adam; Loga, Karolina; Fijuth, Jacek

doi:10.1080/01443615.2018.1458080

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…[5][6][7] In postmenopausal women, it is related to chronic pelvic pain, pyometra, and abnormal uterine bleeding. 7,[13][14][15] In this case, the patient was frequently visiting health centers and clinics for recurrent pelvic pain. She was treated with different analgesics.…”

Section: Discussionmentioning

confidence: 97%

“…In general, when patients report a history of IUD use and pelvic symptoms, diagnosis of retained IUD is usually established by speculum and pelvic US examination. 4 , 13 , 15 Transvaginal ultrasound examination is superior to pelvic examination to confirm the location of the IUD. 13 , 17 But in our case, the radiologist did not confirm the presence of the device in the uterus.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Tilahun¹,

Tadesse²,

Oljira³

2022

IMCRJ

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Objective Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women. Therefore, appropriate counseling during insertion and timely removal is crucial. Case Summary We present the case of retained Lippes loop IUD for 40 years in a 75-year-old postmenopausal patient from Western Ethiopia. The patient presented to the hospital with postmenopausal pelvic pain. Speculum exam showed part of loop at external cervical os. The loop was easily removed with spongy forceps. The patient was discharged with analgesia and doxycycline twice a day for 3 days. Conclusion In the absence of embedment of an IUD into the uterine wall or uterine perforation, spontaneous expulsion of an IUD after prolonged use is possible.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Tilahun¹,

Tadesse²,

Oljira³

2022

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Though our case was visiting several health facilities with pelvic complaints, the diagnosis of retained IUD was not made until her current visit to this specialized hospital. In general, when patients report a history of IUD use and pelvic symptoms, diagnosis of retained IUD is usually established by speculum and pelvic US examination [ 4 , 13 ]. Transvaginal ultrasound examination is superior to pelvic examination to confirm the location of IUD [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prolonged use of this device was common [11], however, it is associated with some problems such as uterine infection, uterine bleeding, uterine perforation, bowel perforation, and pelvic abscess [5][6][7]. In postmenopausal women, it is related to chronic pelvic pain, pyometra, and abnormal uterine bleeding [7,12,13].…”

Section: Discussionmentioning

confidence: 99%

Lippes loop intrauterine device left in the uterus for 40 years as a rare cause of postmenopausal pelvic pain: a case report and review of the literature

Tilahun,

Tadesse,

Oljira

2023

J Med Case Reports

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Background Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women. Therefore, appropriate counseling during insertion and timely removal are crucial. Case summary We present the case of retained Lippes loop IUD for 40 years in a 75-year-old postmenopausal patient from Western Ethiopia. The patient presented to the hospital with postmenopausal pelvic pain. The loop was removed with spongy forceps. The patient was discharged with analgesia and doxycycline twice a day for 3 days. Conclusion Different works of the literature showed that retained Lippes loop IUD carries some complications. Our case was also presented with postmenopausal pelvic pain. Therefore, we recommend the removal of IUDs at their expiry date or menopause.

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Prolonged retention of the Lippes loop intrauterine device as a cause of vaginal bleeding 10 years after chemoradiotherapy of locally advanced cervical carcinoma: case report and review of the literature

Cited by 2 publications

References 7 publications

Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Lippes loop intrauterine device left in the uterus for 40 years as a rare cause of postmenopausal pelvic pain: a case report and review of the literature

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