Korean J Gynecol Endosc Minim Invasive Surg.  2011 May;23(1):51-55.

A case of successful delivery after ultrasound guided hysteroscopic removal of intrauterine device with missing tail during early pregnancy

• Ko JH
• Kang HJ
• Seo KJ
• Kwon HS
• Sohn IS
• Bae J
• Hwang HS

Abstract

In case of intrauterine pregnancy with an intrauterine device (IUD), it is recommended to remove the device because of the increased risk of abortions, septic complications and premature delivery. But removal of intrauterine devices in early pregnancy remains a troublesome problem for both doctors and patients, especially when IUD threads are not visible at the external os. If the thread of the IUD is not visible, extraction with hysteroscopy and ultrasonic guidance is advised. But due to postoperative complications such as uterine rupture or bleeding and electrolyte imbalance, many doctors prefer not to perform the procedure. IUD removal is scarcely performed that there are only 2 successful cases which were reported in Korea until today. Recently we experienced a case of an early pregnant woman with IUD in whom thread was invisible at the cervical os and IUD removal was attempted and successfully performed by ultrasound guided hysteroscopy. Pregnancy was maintained without complications until 39th week and delivered healthy baby. So we report this case with the review of articles related.

Keyword

Hysteroscopic IUD removal; Intrauterine pregnancy; Intrauterine device

MeSH Terms

Abortion, Septic
Female
Hemorrhage
Humans
Hysteroscopy
Intrauterine Devices
Korea
Postoperative Complications
Pregnancy
Pregnant Women
Ultrasonics
Uterine Rupture