case_images: PMC11747293_01
case_images: (A) Gynecological ultrasound: the right side of the IUD appears to reach the extraserosal aspect of the uterus. (B) Pelvic CT: the IUD is incarcerated, with edges protruding from the serosal surface of the uterus.
case_images: fmed-11-1486745-g001.jpg
case_images: PMC11747293_01_fmed-11-1486745-g001.jpg
case_images: fig1
case_images: The IUD was located in the myometrium of the right anterior wall and appeared to reach the extraserosa on the right side (Figure 1A). A pelvic computed tomography (CT) scan revealed an incarcerated IUD with margins protruding from the serosal surface (Figure 1B).
case_images: (A) Hysteroscopy: no obvious IUD shadow was observed in the cervical canal or uterine cavity. (B) In the endometrium, local white scar-like adhesions were observed in the right anterior wall of the fundus. (C) Faintly visible metal wire.
case_images: fmed-11-1486745-g002.jpg
case_images: PMC11747293_01_fmed-11-1486745-g002.jpg
case_images: fig2
case_images: Hysteroscopy was then performed revealing no obvious IUD shadow in the cervical canal or uterine cavity with maintained pressure at 100 mmHg by inflation instrument (Figure 2A). The endometrium was thin, and local white scar-like adhesions were observed in the right anterior wall of the fundus (Figure 2B). Under direct vision, microscissors were employed to cut along the white adhesion band, revealing a faintly visible metal wire (Figure 2C).
case_images: "V" IUD removed during surgery.
case_images: fmed-11-1486745-g003.jpg
case_images: PMC11747293_01_fmed-11-1486745-g003.jpg
case_images: fig3
case_images: The V-type IUD was slowly pulled and removed (Figure 3).
case_images: After IUD removal, hysteroscopy was performed again, and no significant abnormalities were observed in utero.
case_images: fmed-11-1486745-g004.jpg
case_images: PMC11747293_01_fmed-11-1486745-g004.jpg
case_images: fig4
case_images: Hysteroscopy again revealed no obvious abnormalities in utero (Figure 4).
case_images: (A) Postoperative abdominal plain film: A punctate, slightly high-density shadow approximately 2 mm in length was observed 5.4 cm above the pubic symphysis in the pelvic cavity (red circle). (B) An enlarged high-density shadow of 2 mm (red circle).
case_images: fmed-11-1486745-g005.jpg
case_images: PMC11747293_01_fmed-11-1486745-g005.jpg
case_images: fig5
case_images: The plain abdominal film revealed a punctate, slightly high-density shadow approximately 2 mm in length located 5.4 cm above the pubic symphysis in the pelvic cavity (Figure 5).