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The 'tail' of a missing intrauterine contraceptive device
  1. Hanan Ismail, MB ChB, DFFP, Career Grade Trainee in Family Planning and Reproductive Health and
  2. Diana Mansour, FRCOG, MFFP, Consultant in Community Gynaecology and Reproductive Health Care
  1. Graingerville Clinic, Newcastle General Hospital, Newcastle upon Tyne, UK
  1. Correspondence Hanan Ismail, Graingerville Clinic, Newcastle General Hospital, Westgate Road, Newcastle upon Tyne NE4 6BE, UK. Tel: +44 (0) 191 219 5239. Fax: +44 (0) 191 219 5232


This case presents a cautionary tale demonstrating the importance of skilled ultrasonography for the correct location of an intrauterine device (IUD) lying within the uterine cavity where the threads are 'lost'. Accurate ultrasound examination can ensure the avoidance of unnecessary x-rays or surgery. The case also acts as a reminder that a missing thread of an IUD does not imply that the device is misplaced.

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