The intrauterine device (IUD) is gaining popularity as a reversible form of contraception. Ultrasonography serves as first-line imaging for the evaluation of IUD position in patients with pelvic pain, abnormal bleeding, or absent retrieval strings. This review highlights the imaging of both properly positioned and malpositioned IUDs. The problems associated with malpositioned IUDs include expulsion, displacement, embedment, and perforation. Management considerations depend on the severity of the malposition and the presence or absence of symptoms. Three-dimensional ultrasonography has proven to be more sensitive in the evaluation of more subtle findings of malposition, particularly side-arm embedment. Familiarity with the ultrasonographic features of properly positioned and malpositioned IUDs is essential.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484292 | PMC |
| http://dx.doi.org/10.14366/usg.15010 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Role of minimally invasive surgery in the management of misplaced IUCDS and their complications, a case series.
Arch Gynecol Obstet
December 2024
Obstetrics and Gynaecology, Government Medical College Anantnag, 44 Gousia Colony Main Baghat-i-Kanipora, Srinagar, Jammu and Kashmir UT, India.
Intrauterine contraceptive devices (IUCDs) are a measure of temporary sterilization. Misplacement of IUCD is fairly common and most of these women remain asymptomatic. We report a clustered case series of misplaced, mal-positioned, and transmigrated IUCDs with serious complications and their management by minimally invasive surgery in a newly established medical school in North India.
View Article and Find Full Text PDFMigration of Intrauterine Device Into the Bladder: A Case Report.
Cureus
October 2024
Gynecology, Shandong Shanxian Central Hospital, Heze, CHN.
Complications associated with intrauterine contraceptive devices (IUDs), particularly those involving migration into the bladder, are infrequent occurrences yet clinically significant. The clinical presentation of patients with IUD displacement into the bladder is frequently vague and non-specific, posing a challenge for timely and accurate diagnosis. This report details the case of a patient who presented with an IUD malpositioned into the bladder, initially manifesting solely as urinary frequency.
View Article and Find Full Text PDFCase report: Uterine perforation caused by migration of intrauterine devices.
Front Med (Lausanne)
September 2024
Department of Gynaecology, Zhuzhou Central Hospital, Zhuzhou, China.
Article Synopsis
- * Regular evaluations are essential because many patients don't show symptoms, which can lead to serious health issues if complications arise.
- * Advanced imaging techniques like 3D ultrasound and CT scans can help detect IUD malposition and guide surgical procedures, as demonstrated by a case involving a woman with an asymptomatic uterine perforation into her bladder six years after IUD insertion.
An in-vivo study of the safety of copper-containing intrauterine devices in 3.0 Tesla magnetic resonance imaging.
Abdom Radiol (NY)
December 2024
Department of Radiology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 204, San Diego, CA, 92134, USA.
Purpose: The aim of this study is to prospectively evaluate whether women with copper-containing intrauterine devices (Cu-IUD), currently listed as MR conditional, can safely undergo 3.0 Tesla (3 T) magnetic resonance imaging (MRI).
Methods: 73 women, age 18-54 years old, with a Cu-IUD who were undergoing MRI for any reason were included consecutively.
Patient Preferences for Immediate Compared With Delayed Postpartum Intrauterine Device Placement.
Obstet Gynecol
September 2024
Department of Obstetrics and Gynecology, NYU Grossman School of Medicine, New York, New York; the Division of Complex Family Planning, Department of Obstetrics and Gynecology, and the Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, and the Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, Pennsylvania; and the DuPont Clinic, Washington, DC.
Objective: To use choice-based conjoint survey methodology to evaluate patient values and decision making regarding immediate compared with delayed placement of postpartum intrauterine devices (IUDs).
Methods: We conducted a cross-sectional study in which we surveyed 200 nonpregnant, parous patients. Participants chose between hypothetical postpartum IUDs varying in multiple attributes (hormonal or nonhormonal IUD type, placement timing, 1-year efficacy, expulsion risk, risk of lost strings, and malposition risk).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!