Case Report on Misplaced and Malpositioned Fragmented IUCD

Abstract

IUCD is one of the preferred forms of contraception that is reliable and cost effective. Nonetheless, IUCDs are not risk free and several complications have been reported, including unintended expulsion, misplacement and uterine perforation. Uterine perforation with an IUCD is uncommon, but it may have serious consequences including intra-abdominal bleeding, bowel or bladder perforation, fistula formation, especially when IUCD migrates to pelvic peritoneal spaces invading the adjacent organs. It is rare for IUCD to break during removal and fragments lodged in uterine cavity. We present a case of retained fragment of IUCD which was diagnosed after 3 years of its so called ‘removal’. The case report emphasizes the need to train doctors not only to insert IUCD but also to educate the women about potential risks and benefits and self-examination of IUCD thread for its correct placement.