Ultrasonographic evaluation of uterine perforation by an intrauterine device.

Abstract

A case is reported of a 31‐year‐old woman who had a copper‐7 IUD inserted two years prior to admission but became pregnant and had a normal delivery a year prior to admission. The IUD had not exited her body during delivery, and she was asymptomatic. Ultrasonography was used to locate the IUD, which was extending through the wall of the uterus. Upon mini‐laparotomy, the IUD was found to be completely outside of the uterus, embedded in the omentum. This represents the first reported case which documents the use of ultrasonographic technology to locate an IUD extending through a uterine wall.

Migration of an intrauterine contraceptive device to the urinary bladder: Sonographic findings

“…[5][6][7][8][9] Generally, sonography reveals an echogenic structure whose shape is consistent with that of an IUD, but a calcified IUD may resemble a kidney stone or nonspecific calcified mass. 6,7 Transvaginal sonography is an excellent method for visualizing the uterus and ovaries but is not suitable for detecting lesions near the anterior wall of the bladder, as in our case.…”

Early sonographic diagnosis of intrauterine device migration to the adnexa

“…5,6 IUD migration can be diagnosed with pelvic ultrasound, as demonstrated in our case and in the literature. 4,8,10,[12][13][14][15] Advantages of sonography include that it is easy to perform, is costeffective, and lacks radiation risk. 7 Ultrasound also identifies concomitant states such as pregnancy, pelvic inflammatory disease, and ovarian masses.…”