Successful Conservative Management of a Dislocated IUD

الملخص EN

Background.

Intrauterine contraceptive devices (IUDs) are widely utilized all over the world owing to their low cost and high efficacy.

Uterine perforation is a rare complication that may occur at IUD insertion resulting in extrauterine location of the IUD.

Traditionally, surgical removal of dislocated IUDs has been recommended.

Case.

A 68-year-old patient who had an IUD (Lippes loop) inserted 32 years ago and whose routine examination incidentally revealed a dislocated IUD in the abdominal cavity.

The patient remained asymptomatic during three years of follow-up and the IUD was left in place.

Conclusion.

Asymptomatic patients, whose vaginal examinations and ultrasonography or X-ray results reveal a dislocated IUD, may benefit from conservative management.