Tropical Doctor > Volume 39, Number 4 > Pp. 221-223

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What is the fate of the missing intrauterine contraceptive device?

Bolanle O Ibitoye FWACS   ^*    Ademola A Aremu FMCR FWACS      Mayomi A Onuwaje MBBS   ^*   Oluwagbemiga O Ayoola FMCR   ^*

^* Department of Radiology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife; Department of Radiology, Ladoke Akintola University, Ogbomoso, Nigeria

Correspondence to: Dr B O Ibitoye, Department of Radiology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria Email: bobitoye{at}yahoo.com

An intrauterine contraceptive device (IUCD) is one of the most common forms of contraception in use worldwide today. It is associated with a myriad of problems and complications, one of which is the missing IUCD. It is a known fact that IUCDs can perforate the uterus resulting in its subsequent relocation in other organs within the pelvis and the abdomen. This study showed that more than 50% of clinically diagnosed cases of a missing IUCD are still located within the endometrial cavity. It is therefore being proposed that a clinical diagnosis of ‘missing string’ be made until adequate radiological investigations, such as ultrasonography, plain X-rays and computerized tomography, have been carried out.

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