Far-migration of an intrauterine device in the intrathoracic
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The IUD insertion procedure triggers IUD migration. Women with implanted IUDs should be examined to evaluate the device's position regularly.

A 65-year-old woman with a far-migrated intrathoracic IUD was detected incidentally. The woman had been admitted to the outpatient surgery clinic after undergoing a thorax X-ray for her medical check-up. She denied abdominal pain, abnormal bleeding, dyspnea, or any chest discomfort. She underwent an IUD placement about thirty years ago after her second pregnant. Moreover, she underwent no follow-up examinations and had not replaced the IUD after IUD placement.

The physical examination and routine laboratory tests were conducted within normal limits. There was an opaque spiral-shaped shadow that located in the left lower thorax according to a plain thorax X-ray. Computerized tomography of the thoraco-abdominal showed a rounded and several hypodense lesions with slippery edges in the left posterior mediastinum. These findings suggested a bochdalek hernia, a hyperdense, and a spiral-shaped inferior aspect of the lesion after the IUD placement. Furthermore, they conducted a surgical removal of the IUD, but the patient refused because she had been asymptomatic.

Source: https://onlinelibrary.wiley.com/doi/10.1002/ccr3.4127?af=R
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