Case 100: Migrated Intrauterine Contraceptive Device || Ultrasound

    

Clinical Features:

A 22-year-old female patient with

- H/o using intrauterine contraceptive device & perforation.

- H/o hysterectomy due to ruptured uterus during pregnancy.

Ultrasound Features:

A ‘T’-shaped hyperechoic foreign body surrounded by anechoic localized collection is noted at the right iliac fossa.

Remember:

3D/4D ultrasound may help visualize the IUCD location (especially with serpiginous IUCDs).

Ultrasound Diagnosis:

Migrated Intrauterine Contraceptive Device at the right iliac fossa.

Ultrasound Images:

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on trans section at RIF with surrounding the localized collection

Echogenic linear IUCD on long section at RIF with surrounding localized collection

Echogenic linear IUCD on long & trans sections at RIF with surrounding localized collection

On color Doppler, no surrounding abnormal vascularity

3D Ultrasound of the IUCD on different modes

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For further demonstration, don't forget to check our video:

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