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Intrauterine fragmentation of Gyne T380®: an uncommon complication
  1. Anagha Nadgir, MRCOG, DFFP, Associate Specialist1,
  2. Deborah Beere, MFFP, DSM, Lead Consultant2 and
  3. Keith Barker, MRCG, DFFP, General Practitioner3
  1. Contraception and Reproductive Health Services, Middlesbrough Primary Care Trust (PCT), Middlesbrough, UK
  2. Contraception and Reproductive Health Services, Middlesbrough PCT, Middlesbrough, UK
  3. Langbaurgh PCT and Sessional Clinical Medical Officer, Middlesbrough PCT, Middlesbrough, UK
  1. Correspondence Dr Anagha Nadgir, Contraception and Reproductive Health Services, 23–27 Middlesbrough Road, South Bank, Middlesbrough, Teesside TS6 6NW, UK. Tel: +44 (0) 01642 459583. E-mail: anagha.nadgir{at}


A case of intrauterine fragmentation of a Gyne T380® intrauterine device (IUD) is described that was detected during removal of the device. Pelvic ultrasound failed to detect the fragment. Subsequently the woman reported spontaneous expulsion of the device. A description of this uncommon complication of IUD use, diagnosis, management and the need for awareness of the possibility of spontaneous expulsion of the fragment are discussed.

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