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Early sonographic diagnosis of intrauterine device migration to the adnexa
Author(s) -
Deshmukh Swati,
Ghanouni Pejman,
Jeffrey R. Brooke
Publication year - 2009
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.20591
Subject(s) - medicine , intrauterine device , uterine perforation , ultrasound , complication , pelvic pain , perforation , presentation (obstetrics) , surgery , obstetrics , population , family planning , research methodology , radiology , materials science , environmental health , metallurgy , punching
Uterine perforation is an uncommon complication of intrauterine devices (IUDs). Perforating IUDs can migrate to various locations but paradoxically are rarely found in ovaries or broad ligament. We describe an unusual case of a 23‐year‐old woman 1‐month postpartum with an IUD translocation to the right adnexa. The IUD was inserted only 1 week prior to presentation, and she experienced pain on insertion. After visualization by ultrasound, the IUD was laparoscopically removed. We suggest early use of ultrasound in cases of potential IUD migration, particularly in high‐risk patients and when IUD insertion causes pain. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2009