Dislokation IUP

Transvaginal
ultrasonography showing an IUD with copper as a hyperechoic (rendered as bright) line at right, 3 centimeters away from the uterus at left. The IUD is surrounded by a hypoechoic (dark) foreign-body granuloma. The urinary bladder is seen beneath it, close the the circular tip of the ultrasound probe at the bottom. The patient was a 29 year old woman who had a painful IUD insertion 2 months earlier.
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Perforated
IUD on plain film radiography.
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In die
Bauchhöhle dislozierte Spirale (lost IUP) im Röntgenbild in Projektion auf das linke ISG. Das Device konnte laparoskopisch geborgen werden.
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Lost IUP
rechts dorsokranial des Uterus in der Low Dose- CT. Aktuell kein Hinweis auf freie Luft (Perforation) oder Abszessbildung.
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Intrauterine
contraceptive device • Extrauterine migration of Lippes loop - Ganzer Fall bei Radiopaedia
Cuete D, Extrauterine migration of Lippes loop. Case study, Radiopaedia.org (Accessed on 26 Jan 2023) https://doi.org/10.53347/rID-29390 • CC by-nc-sa 3.0 (modified)
Intrauterine
contraceptive device • IUCD migration - rectal wall perforation - Ganzer Fall bei Radiopaedia
Anan R, IUCD migration - rectal wall perforation. Case study, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-176638 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

A missing IUCD is considered when the retrieval strings of certain types of intrauterine contraception devices (IUCD) cannot be seen on physical examination.

The possibilities are

Ultrasound is appropriate for initial evaluation and can provide answers to clinical questions related to the IUCD. It easily helps determine whether an IUCD is correctly positioned and can often help identify IUCD-related complications. Three-dimensional (3D) US is gaining recognition for its role in imaging IUCDs.

Anteroposterior and lateral abdominal radiographs can be helpful in demonstrating an extrauterine IUCD.

Rarely computed tomography (CT) is used for the assessment of IUCD position. More often IUCDs are incidentally visualized on CT. CT is the best modality for the evaluation of complications associated with intra-abdominal IUCDs, e.g. visceral perforation, abscess formation, and bowel obstruction.

MRI is not typically used for evaluation of IUCD, but modern IUCDs are safely imaged with MRI and appear as signal voids.

Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Dislokation IUP:
IUCD related
uterine perforation
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Mirena-Spirale
 
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