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Migration of an intrauterine contraceptive device to the ovary
Author(s) -
Özdemir Hüseyin,
Mahmutyazıcıoğlu Kamran,
Tanrıverdi H. Alper,
Gündoğdu Sadi,
Savranlar Ahmet,
Özer Tülay
Publication year - 2004
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10228
Subject(s) - medicine , intrauterine device , uterus , ovary , pelvic pain , pelvis , abdominal pain , pelvic inflammatory disease , surgery , gynecology , obstetrics , population , family planning , research methodology , environmental health
We present the case of a 37‐year‐old woman with a history of 2 consecutive insertions of intrauterine contraceptive devices (IUDs) 3 years before she was referred to us for sonographic evaluation of lower abdominal pain. The first of the IUDs was presumed to have been expulsed spontaneously, and 3 months after insertion of the second device, the patient had begun experiencing lower abdominal pain. Medical treatment with antibiotics and spasmolytics had been unsuccessful. We performed transvaginal sonography, which revealed the presence of an IUD in the uterus and a 2‐cm linear metallic echogenic area in the left ovary, believed to represent another IUD. Anteroposterior radiography confirmed that there were 2 IUDs in the pelvis, and CT demonstrated 1 IUD in the uterus and another in the left ovary. The patient underwent laparoscopic removal of the ovarian IUD and was discharged in good condition. To our knowledge, this is the first report of migration of an IUD to the ovary detected on transvaginal sonography. We recommend consideration of this possibility during evaluation of women with unexplained chronic pelvic pain. © 2004 Wiley Periodicals, Inc. J Clin Ultrasound 32:91–94, 2004