REMOVAL OF LIPPES IUD FROM THE ABDOMINAL CAVITY AFTER 42 YEARS – CASE REPORT
Abstract
Background: Intrauterine device is one of the most effective methods of contraception which in addition to many advantages also has its disadvantages. It can pass through the wall of the uterus and migrate into any tissue in the abdominal cavity. Since dislocation may be unrecognized for several years, re-examination after IUD insertion is necessary.
Patients and methods: This article shows an example of a 72-year old patient with an accidentally discovered dislocated Lippes Loop IUD in the abdominal cavity. By the help of X-ray (RTG) and computed tomography (CT) we have determined its position and successfully removed it after 42 years.
Conclusions: Migration and dislocation of an IUD is a rare complication and often completely asymptomatic. In order to avoid serious complications, it is necessary to re- examine patients regularly after insertion. An onset of pain certainly calls for the multidisciplinary approach in which a specialist of family medicine has the central role.
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