Advertisement
Case report| Volume 99, ISSUE 1, P67-69, January 2019

Download started.

Ok

The Management of a patient with a fragmented intrauterine device embedded within the cervical canal

      Abstract

      A 28-year-old woman presented with a malpositioned intrauterine device (IUD) that was fragmented and significantly entrenched within the cervical canal and myometrium. IUD malposition with concomitant device fragmentation and embedded segments, albeit rare, should be a consideration given the device's prevalence.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sanders J.N.
        • Turok D.K.
        • Royer P.A.
        • Thompson I.S.
        • Gawron L.M.
        • Storck K.E.
        One-year continuation of copper or levonorgestrel intrauterine devices initiated at the time of emergency contraception.
        Contraception. 2017; 96: 99-105
      1. Kavanaugh ML, Jerman J.Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014. Contraception 2018; 97:14–21.

        • Braaten K.P.
        • Benson C.B.
        • Maurer R.
        • Goldberg A.B.
        Malpositioned intrauterine contraceptive devices.
        Obstet Gynecol. 2011; 118: 1014-1020
      2. Howard B, Grubb E, Lage MJ3, Tang B. Trends in use of and complications from intrauterine contraceptive devices and tubal ligation or occlusion. Reprod Health 2017;14:70.

        • Shipp T.D.
        • Bromley B.
        • Benacerraf B.R.
        The width of the uterine cavity is narrower in patients with an embedded intrauterine device (IUD) compared to a normally positioned IUD.
        J Ultrasound Med. 2010; 29: 1453-1456
        • Wiebe E.R.
        • Broken I.U.D.
        J Obstet Gynaecol Can. 2012; 34: 1121-1122
        • Blaauwhof P.C.
        • Goldstuck N.D.
        Intrauterine breakage of a multiload Cu250 intrauterine device: report of a case.
        Adv Contracept. 1988; 4: 217-220
        • Wilson S.
        • Tan G.
        • Baylson M.
        • Schreiber C.
        Controversies in family planning: how to manage a fractured IUD.
        Contraception. 2013; 88: 599-603
        • Gbolade B.A.
        Perforation of the cervix by the threads of a levonorgestrel-releasing intrauterine system: a case report.
        J Womens Health. 2010; 19: 2277-2279
        • Norman W.V.
        • Stothart D.I.U.D.
        String perforation through anterior cervix: a case report.
        J Obstet Gynaecol Can. 2015; 37: 345-348
        • Kiilholma P.
        • Mäkinen J.
        • Vuori J.
        Bladder perforation: uncommon complication with a misplaced IUD.
        Adv Contracept. 1989; 5: 47-49
        • Caliskan E.
        • Oztürk N.
        • Dilbaz B.O.
        • Dilbaz S.
        Analysis of risk factors associated with uterine perforation by intrauterine devices.
        Eur J Contracept Reprod Health Care. 2003; 8: 150-155
        • Barnett C.
        • Moehner S.
        • Do Minh T.
        • Heinemann K.
        Perforation risk and intra-uterine devices: results of the EURAS-IUD 5-year extension study.
        Eur J Contracept Reprod Health Care. 2017; 22: 424-428
        • Rahnemai-Azar A.A.
        • Apfel T.
        • Naghshizadian R.
        • Cosgrove J.M.
        • Farkas D.T.
        Laparoscopic removal of migrated intrauterine device embedded in intestine.
        JSLS. 2014; 18: 1-5
        • Karbowski B.
        • Schneider H.P.
        Removal of an occult intrauterine fragment of an intrauterine device under hysteroscopic control.
        Gynakol Rundsch. 1986; 26: 210-214
        • Badir S.
        • Mazza E.
        • Bajka M.
        Objective assessment of cervical stiffness after Administration of Misoprostol for intrauterine contraceptive insertion.
        Ultrasound Int Open. 2016; 2: E63-E67