Mystery of a missing Cu-T: a case report

Authors

  • Ajiti Tiwari Department of Obstetrics and Gynecology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • P. B. Hiremath Department of Obstetrics and Gynecology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • N. R. Indu Department of Obstetrics and Gynecology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • Jayashree Department of Obstetrics and Gynecology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India
  • Shaheen Department of Obstetrics and Gynecology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250531

Keywords:

Displaced Cu-T, Migration of IUCD, Uterine perforation, Laparoscopy, Hysteroscopy

Abstract

The Cu-T intrauterine device (IUD) is a popular contraceptive method. However, a "missing" Cu-T IUD poses a clinical challenge. This situation arises when the IUD cannot be visualized on ultrasound or X-ray, raising concerns about potential complications. This review discusses the etiology, diagnosis, and management of a missing Cu-T IUD, including the role of imaging modalities, surgical interventions, and patient counseling. This case report aims to discuss the complications and consequences of a "missing Cu-T" IUD, including perforation, migration, and infertility. We examine the causes, diagnosis, and management of this condition, highlighting the importance of timely detection and appropriate intervention to prevent long-term consequences.

 

Metrics

Metrics Loading ...

References

Khan ZA, Williams A, Mobb GE. Intravesical migration of levonorgestrel-releasing intrauterine system (LNG-IUS) with calculic formation. Eur J Contracept Reprod Health Care. 2006;11(3):243-5. DOI: https://doi.org/10.1080/13625180600557415

Singhal SR, Marwah DS, Paul A, Singhal SK. Missed intranuterine device: a rare indication for appendicectomy review of literature. East Central Afr J Surg. 2010;15(2):156-8.

Nigam A, Biswas R, Mishra A. Misplaced intrauterine contraceptive device: an enigma. Open access J Contracept. 2011;2:1-3. DOI: https://doi.org/10.2147/OAJC.S14488

Li Q, Qi D, Bi T, Guo X and Chen H. Case report: Uterine perforation caused by migration of intrauterine devices. Front. Med. 2024;11:1455207. DOI: https://doi.org/10.3389/fmed.2024.1455207

Raghavan V, Anand R. A Rare Case of Misplaced Copper -T in Appendix Along with Appendicitis. Asian Res J Gynaecol. Obst. 2023;6(1):116-20.

Grover A, Mehta S, Mann A. Misplaced intra uterine devices: a rare case of vaginal entrapment. Int J Reprod Contracept Obstet Gynecol. 2019;8(11):4599-601. DOI: https://doi.org/10.18203/2320-1770.ijrcog20194904

Sahu D, Sao KK, Dubey SS. Laparoscopic Retrieval of a Displaced Intrauterine Device Presenting as Umbilicus Sinus. World J Lap Surg. 2020;13(2):87-9. DOI: https://doi.org/10.5005/jp-journals-10033-1404

Johri V, Vyas KC. Misplaced intrauterine contraceptive devices: common errors; uncommon complications. J Clin Diagn Res. 2013;7(5):905-7. DOI: https://doi.org/10.7860/JCDR/2013/5287.2982

Downloads

Published

2025-02-26

How to Cite

Tiwari, A., Hiremath, P. B., Indu, N. R., Jayashree, & Shaheen. (2025). Mystery of a missing Cu-T: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(3), 922–925. https://doi.org/10.18203/2320-1770.ijrcog20250531

Issue

Section

Case Reports