Professional paper

Ultrasound-guided hysteroscopic removal of forgotten, retained and fragmented intrauterine device: a case report

Ratko Delić ; General hospital Celje, Department of obstetrics and gynecology, Celje, Slovenia

Abstract

Objective: To present a rare case of forgotten, retained and fragmented copper intrauterine device (IUD) in a postmenopausal women. With the growing popularity of this method of contraception, we may see more rare IUD complications in clinical practice.
Case report: A 56-year-old, postmenopausal woman was referred to our department after previous unsuccessful attempts to remove the IUD in an office setting and later under general anesthesia by means of traditional methods. We successfully performed ultrasound-guided diagnostic hysteroscopy for removal of forgotten, retained and fragmented IUD.
Conclusion: Although our patient had no complications despite prolonged usage of copper IUD, the leaving device in situ is not reasonable even if it is asymptomatic; it can lead to serious and life-threatening complications. Patient education is critical and appropriate and clear instructions should be given to the patient at the time of IUD placement regarding the time of its removal in order to avoid complications of a forgotten, retained and fragmented IUD.

Keywords

forgotten; retained; fragmented; intrauterine device; hysteroscopy

Hrčak ID:

260409

URI

https://hrcak.srce.hr/260409

Publication date:

12.7.2021.

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