Lippes Loop intrauterine device left in the uterus for 50 years: case report

Abstract

BackgroundThe first Lippes Loop intrauterine device (IUD) was introduced in 1962. It was a plastic double “S” loop, a trapezoid shaped IUD that closely fit around the contours of the uterine cavity, reducing the incidence of expulsion. This IUD was commonly used from the 1960’s to the 1980’s. Some authors state that the IUD can be left in the uterine cavity for an indefinite amount of time. Prolonged use of this device was common, however, it was associated with some complications like uterine bleeding during post-menopausal period and inflammatory pelvic diseases.Case presentationThe patient was a 74-years-old woman who was admitted to a university hospital due to urinary incontinence stress. The patient’s history included 2 deliveries and 20 years of menopause. During ultrasonography a normally sized and shaped uterus was found. The uterine cavity was expanded by 14 mm with some fluid. A “Lippes” loop was also seen in the uterine cavity. Both ovaries were atrophic without any abnormalities. The patient had her IUD inserted 50 years ago. Patient underwent TOT (tension obturator tape ) surgery for urinary incontinence. Evacuation of IUD and uterine curettage was also done.ConclusionsFifty years of prolonged usage of LIPPES IUD had no influence on the woman’s health during our case.

Retained intrauterine device, Lippes loop intrauterine device, for 40 years as unusual cause of chronic pelvic pain in 70 years old woman in Western Ethiopia

“…The pain might result from embedment of uterine wall by the device, recurrent pelvic inflammatory disease, chronic inflammatory response of the endometrium or uterine contraction to expel the device. 6,9,10 From this case report, physicians can consider retained IUD as one of the differential diagnosis of chronic pelvic pain in postmenopausal period.…”

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

“…Cases have been reported in literature of prolonged use of IUD. (1,2) The time period of retained uterine devices varied from 22 to 44 years. Most common presentation was postmenopausal bleeding.…”

“…Most common presentation was postmenopausal bleeding. (1,2) Cases of silent perforation of LL-IUD with asymptomatic migration have been reported. Spontaneous perforation is a rare, but well known complication of IUD insertion where the IUD initially embeds in the uterine wall followed by complete perforation to thus migrate in the peritoneal cavity.…”

“…It caused no symptoms for 50 years. (2) Phupong V et al reported a case of a uterine perforation due to Lippes loop IUD-associated actinomycotic infection. The LL was inserted almost 35 years ago, which was forgotten.…”

Odstranitev Lippesovega Materničnega Vložka Iz Trebušne Votline Po 42 Letih – Prikaz Primera

“…Lippesov maternični vložek je bil prvič uveden leta 1962, in sicer kot trapezoidno oblikovana dvojna zanka S, ki se tesno prilega obrisu maternične votline, s čimer naj bi se zmanjšala verjetnost perforacije in migracije iz maternične votline. Pogosto se je uporabljal vložek med letoma 1960 in 1980 (6).…”