Lippes loop intrauterine device left in the uterus for 40 years as a rare cause of postmenopausal pelvic pain: a case report and review of the literature

Background Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women...

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Bibliographic Details
Published inJournal of medical case reports Vol. 17; no. 1; pp. 1 - 397
Main Authors Tilahun, Temesgen, Tadesse, Asfaw, Oljira, Rut
Format Journal Article
LanguageEnglish
Published London BioMed Central Ltd 02.09.2023
BioMed Central
BMC
Subjects
Abdomen
Case Report
Case reports
Cervix
Contraception
Endometrium
Health facilities
Hospitals
Infertility
Intrauterine devices
IUD
Lippes loop
Literature reviews
Magnetic resonance imaging
Menopause
Pain
Pelvic pain
Postmenopausal women
Retained
Tomography
Ultrasonic imaging
Uterus
Vagina
Western Ethiopia
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Summary:Background Intrauterine devices are a widely used method of contraception worldwide. These devices are reliable, cost-effective, long-acting, and reversible. Their placement in the uterus is usually simple and safe. Forgotten IUDs carry some complications and can adversely affect the health of women. Therefore, appropriate counseling during insertion and timely removal are crucial. Case summary We present the case of retained Lippes loop IUD for 40 years in a 75-year-old postmenopausal patient from Western Ethiopia. The patient presented to the hospital with postmenopausal pelvic pain. The loop was removed with spongy forceps. The patient was discharged with analgesia and doxycycline twice a day for 3 days. Conclusion Different works of the literature showed that retained Lippes loop IUD carries some complications. Our case was also presented with postmenopausal pelvic pain. Therefore, we recommend the removal of IUDs at their expiry date or menopause. Keywords: Lippes loop, IUD, Retained, Contraception, Pelvic pain, Western Ethiopia
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Review-3
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ObjectType-Feature-5
ObjectType-Article-4
ObjectType-Report-1
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-023-03991-1