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Postmenopausal Bleeding due to a Cu-7 Intrauterine Device Retained for Thirty Years

BACKGROUND: A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB). CASE: A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hyster...

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Detalles Bibliográficos
Autores principales: Wagner, Corey A., Gimpelson, Richard J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481229/
https://www.ncbi.nlm.nih.gov/pubmed/23477190
http://dx.doi.org/10.4293/108680812X13427982376743
Descripción
Sumario:BACKGROUND: A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB). CASE: A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hysteroscopically assisted retrieval of the IUD resulted in complete resolution of symptoms. CONCLUSION: A retained IUD should be considered in the differential diagnosis for PMB. In addition, the authors recommend pelvic sonography as the first-line diagnostic modality for PMB to aid the diagnosis of retained IUD as well as other pathology.