title: Postmenopausal bleeding due to a Cu-7 intrauterine device retained for thirty years.
abstract: BACKGROUND
  A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB).
  
  
  METHODS
  A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hysteroscopically assisted retrieval of the IUD resulted in complete resolution of symptoms.
  
  
  CONCLUSIONS
  A retained IUD should be considered in the differential diagnosis for PMB. In addition, the authors recommend pelvic sonography as the first-line diagnostic modality for PMB to aid the diagnosis of retained IUD as well as other pathology.
authors.affiliation: St John's Mercy Medical Center, St Louis, Missouri, USA. coreywag@yahoo.com
authors.forename: Corey A
authors.initials: CA
authors.lastname: Wagner
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Gimpelson
mesh_terms: D005260:Female; D006801:Humans; D015907:Hysteroscopy; D021621:Imaging, Three-Dimensional; D007434:Intrauterine Devices / Q000009:adverse effects*; D008796:Metrorrhagia / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D017698:Postmenopause; D014463:Ultrasonography; D014599:Uterus / Q000000981:diagnostic imaging