A Full Term Pregnancy And Delivery That Occurred After A Neglected Lost Intrauterine Device

Intrauterine devices (IUDs) are the most commonly used method of contraception, worldwide, especially in developing countries. Uterine perforation by an IUD is a rare but an important complication of IUD insertion. In this case report; we present, a patient who had “a neglected lost IUD”, in whom string of IUD was not seen in her follow up examination. The patient was told that in spite of the absence of the string; it will reserve its contraceptive effect. The patient had uneventful pregnancy and delivered at term. Thirty eight years old patient who had gravida 4, parity 4 was referred to our clinic because of lost IUD. In her history she had normal vaginal delivery before 2 years, after 6 weeks IUD was introduced in a health centre. She had pelvic pain and consulted the same health centre where she was told that the string was not seen but it will reserve its contraceptive effect. The patient got pregnant and delivered a full term baby. She had normal gynecological examination uterus and adnexa were normal in ultrasonographic examination but an echo of IUD was seen in Douglas. The IUD was extracted laparoscopically. We think that uterine perforation occurred during insertion of the IUD and it passed to Douglas pouch. For patients who have IUDs with lost string we should determine the location of the IUD. Uterine perforation should be thought of when empty uterine cavity is seen.