Early sonographic diagnosis of intrauterine device migration to the adnexa.
Uterine perforation is an uncommon complication of intrauterine devices (IUDs). Perforating IUDs can migrate to various locations but paradoxically are rarely found in ovaries or broad ligament. We describe an unusual case of a 23-year-old woman 1-month postpartum with an IUD translocation to the right adnexa. The IUD was inserted only 1 week prior to presentation, and she experienced pain on insertion. After visualization by ultrasound, the IUD was laparoscopically removed. We suggest early use of ultrasound in cases of potential IUD migration, particularly in high-risk patients and when IUD insertion causes pain.
Deshmukh
Swati
S
Department of Radiology, Stanford University, 300 Pasteur Drive H1307, Stanford, CA 94305-5105, USA.
Ghanouni
Pejman
P
Jeffrey
R Brooke
RB
D000290:Adnexa Uteri / Q000000981:diagnostic imaging* / Q000601:surgery; D000328:Adult; D020878:Device Removal; D042241:Early Diagnosis; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D017699:Pelvic Pain / Q000000981:diagnostic imaging / Q000209:etiology; D049590:Postpartum Period; D018570:Risk Assessment; D018615:Ultrasonography, Doppler, Color; D014595:Uterine Perforation / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D055815:Young Adult