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      Transmigration of copper IUCD leading to abdominal abscess: A case report

      case-report

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          Abstract

          Far migrated IUCD (Intrauterine Contraceptive Device) is an uncommon condition that has different manifestations depending upon its location. We present the case of a 22‐year‐old primipara who had a spontaneous abortion after IUCD placement and suffered chronic right lower abdominal pain thereafter. Diagnostic laparoscopy revealed Cu‐IUCD in the right iliac fossa.

          Abstract

          Female patients presenting with chronic abdominal pain and a history of abortion; physicians should carefully inquire about copper‐Intrauterine Contraceptive Device (Cu‐IUCD) insertion in the past even in regularly menstruating women.

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          Most cited references12

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          U.S. Selected Practice Recommendations for Contraceptive Use, 2016

          The 2016 U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) addresses a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. These recommendations for health care providers were updated by CDC after review of the scientific evidence and consultation with national experts who met in Atlanta, Georgia, during August 26-28, 2015. The information in this report updates the 2013 U.S. SPR (CDC. U.S. selected practice recommendations for contraceptive use, 2013. MMWR 2013;62[No. RR-5]). Major updates include 1) revised recommendations for starting regular contraception after the use of emergency contraceptive pills and 2) new recommendations for the use of medications to ease insertion of intrauterine devices. The recommendations in this report are intended to serve as a source of clinical guidance for health care providers and provide evidence-based guidance to reduce medical barriers to contraception access and use. Health care providers should always consider the individual clinical circumstances of each person seeking family planning services. This report is not intended to be a substitute for professional medical advice for individual patients. Persons should seek advice from their health care providers when considering family planning options.
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            Extrauterine mislocated IUD: is surgical removal mandatory?

            The incidence of intrauterine device perforation is 0.87 per 1000 insertions. An intrauterine device (IUD) may perforate through the uterine wall into the pelvic or abdominal cavity or into adjacent organs. The accepted treatment for displaced IUDs is surgical removal because of the putative risk of adhesion formation or of damage to the intestine or urinary bladder. The purpose of this article is to present three cases of IUD perforation where surgical removal may not have been necessary. In all three cases, the IUD was removed by laparoscopy. No adhesions were found in any of the patients. Criteria for the surgical removal of a displaced IUD, as a result of uterine perforation, should be re-evaluated. Whilst surgical procedures to remove a misplaced IUD must be performed on symptomatic patients, asymptomatic patients, under certain circumstances, may benefit from conservative management.
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              Misplaced intrauterine contraceptive devices: common errors; uncommon complications.

              Contraception is essential in a developing country like India. Intrauterine Contraceptive Devices (IUCDs) are amongst the most frequently used methods of contraception. The patients with misplaced IUCDs may present with pregnancies or 'lost strings' or they may remain asymptomatic.
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                Author and article information

                Contributors
                dr.rameshlamichhane@gmail.com
                Journal
                Clin Case Rep
                Clin Case Rep
                10.1002/(ISSN)2050-0904
                CCR3
                Clinical Case Reports
                John Wiley and Sons Inc. (Hoboken )
                2050-0904
                24 June 2022
                June 2022
                : 10
                : 6 ( doiID: 10.1002/ccr3.v10.6 )
                : e6006
                Affiliations
                [ 1 ] Jalalabad Ragib Rabeya Medical College Sylhet Bangladesh
                [ 2 ] Vatsalya Health Care Kathmandu Nepal
                [ 3 ] Lumbini Medical College Palpa Nepal
                Author notes
                [*] [* ] Correspondence

                Ramesh Lamichhane, Jalalabad Ragib Rabeya Medical College, Sylhet, Bangladesh.

                Email: dr.rameshlamichhane@ 123456gmail.com

                Author information
                https://orcid.org/0000-0003-4559-7261
                Article
                CCR36006 CCR3-2022-03-0538.R2
                10.1002/ccr3.6006
                9233161
                43b6b5e1-78ed-40b9-b906-6dac964d4f7d
                © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 14 June 2022
                : 08 March 2022
                : 15 June 2022
                Page count
                Figures: 4, Tables: 0, Pages: 4, Words: 2015
                Categories
                Case Report
                Case Report
                Custom metadata
                2.0
                June 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:25.06.2022

                abdominal abscess,abortion,iucd,laparoscopy,transmigration
                abdominal abscess, abortion, iucd, laparoscopy, transmigration

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