22-Year Lost Intrauterine Device: An Unexpected Finding in the Anterior Abdominal Wall

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Abstract
The intrauterine device (IUD), is a commonly utilized contraceptive technique among multiparous women. Based on the available literature, the incidence of uterine perforation and migration in IUD applications has been documented to range from 0.05 to 13 per 1000 cases. If an IUD is not identified during an ultrasound examination of the uterus and uterine cavity in patients with a history of IUD usage who are seeking examination, further investigation should be conducted to determine the position of the IUD. Following ultrasonography, it is imperative to assess using X-Ray as well as pelvis and abdominal imaging techniques. We report a case of an IUD that was not found in its expected location within the uterus during inspection and ultrasonographic examination. It was detected outside the uterus on X-Ray imaging. The patient had the IUD placed 22 years ago. A pelvic radiograph is necessary for evaluating cases of missing IUDs.

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