title: Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature.
abstract: IUD's like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of post menopausal bleeding. The inserted LL thread was incidentally discovered during clinical examination and Ultrasonography. We also reviewed literature to determine the evidence for and against removal of an inert IUD.
authors.affiliation: CMO-Consultant, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India.
authors.forename: Maruti
authors.initials: M
authors.lastname: Sinha
authors.affiliation: CMO, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India .
authors.forename: Rekha
authors.initials: R
authors.lastname: Rani
authors.affiliation: Resident Physician, Department of Obstetrics and Gynaecology, Charleston Area Medical Center, West Virginia University , Charleston Division, Charleston, West Virginia .
authors.forename: Ridhima
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Senior Specialist and Head of Department, Department of Anaesthesia, Kasturba Hospital , Delhi, India .
authors.forename: Kishan
authors.initials: K
authors.lastname: Chand
authors.affiliation: Senior Specialist and Head of Department, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India .
authors.forename: Gurcharan
authors.initials: G
authors.lastname: Kaur
keywords: Intra uterine contraceptive devices; Menopause; Perforation