Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature

Sinha, Maruti

doi:10.7860/jcdr/2015/12981.5832

Cited by 13 publications

(18 citation statements)

References 20 publications

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“…Inert IUD like Lippes Loop tend to remain asymptomatic for years and are often discovered incidentally during the investigative work-up for some other disease. (3,4,5) Ours appears to be a rare case of silent perforation presenting with intestinal obstruction.…”

Section: Discussionmentioning

confidence: 98%

“…(6,7) Several interesting studies and rare case reports of complications following insertion of Lippes loop discussed subsequently, which tilts the balance heavily in favour of removal of a Lippes loop-Intrauterine device irrespective of it causing no difficulty or symptoms to the patient and it goes without saying that it is mandatorily removed in the event of any discomfort or symptom to the patient. (3) FINAL DIAGNOSIS Acute intestinal obstruction due to a forgotten missing Lippes loop.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intestinal Obstruction Due to a Forgotten Missing Lippes Loop- A Case Report With Review of Literature

Joshi¹,

Paranjpe²,

Pawar³

et al. 2018

jemds

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Due to a Forgotten Missing Lippes Loop- A Case Report With Review of Literature

Joshi¹,

Paranjpe²,

Pawar³

et al. 2018

jemds

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“…In general, when patients report a history of IUD use and pelvic symptoms, diagnosis of retained IUD is usually established by speculum and pelvic US examination. 4 , 13 , 15 Transvaginal ultrasound examination is superior to pelvic examination to confirm the location of the IUD. 13 , 17 But in our case, the radiologist did not confirm the presence of the device in the uterus.…”

Section: Discussionmentioning

confidence: 99%

“…3 However different pieces of literature have documented side effects and complications following the long-term use of IUDs. 4 …”

Section: Introductionmentioning

confidence: 99%

Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Tilahun¹,

Tadesse²,

Oljira³

2022

IMCRJ

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Objective Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women. Therefore, appropriate counseling during insertion and timely removal is crucial. Case Summary We present the case of retained Lippes loop IUD for 40 years in a 75-year-old postmenopausal patient from Western Ethiopia. The patient presented to the hospital with postmenopausal pelvic pain. Speculum exam showed part of loop at external cervical os. The loop was easily removed with spongy forceps. The patient was discharged with analgesia and doxycycline twice a day for 3 days. Conclusion In the absence of embedment of an IUD into the uterine wall or uterine perforation, spontaneous expulsion of an IUD after prolonged use is possible.

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“…4 Consensus favours elective retrieval of misplaced IUCD whenever discovered during surgery. 5 A forgotten IUCD can cause several problems varying from infertility to postmenopausal bleeding, pain abdomen due to PID, fever and malaise due to actinomycosis. 6 Complications include ectopic pregnancy, bowel obstruction following perforation, uterine perforation, infections and rarely death.…”

Section: Discussionmentioning

confidence: 99%

Forgotten Lippes loop in menopausal woman left in utero for 45 years: a case report

Mishra

Goel

Agarwal

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Intrauterine contraceptive devices are extremely effective and long lasting. They were intended for long term use and were retained for year’s altogether. Menopausal ladies often present with Lippes Loop in situ either deliberately or forgotten. We report a case of 80 years old patient who came with complaints of pain in lower abdomen and vaginal discharge and had Lippes Loop insitu, which was inserted 45 years back. The inserted Lippes Loop thread was not seen in clinical examination but visualized on Transvaginal Ultrasonography along with pyometra. It was removed under hysteroscopic guidance.

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Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature

Cited by 13 publications

References 20 publications

Intestinal Obstruction Due to a Forgotten Missing Lippes Loop- A Case Report With Review of Literature

Intestinal Obstruction Due to a Forgotten Missing Lippes Loop- A Case Report With Review of Literature

Spontaneously Expelled Lippes Loop IUD After 40 Years of Use: A Case Report and Review of the Literature

Forgotten Lippes loop in menopausal woman left in utero for 45 years: a case report

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