Evidence map›Paper›PMID 39736668›Full record

ArticleBMC women's health2024

Migrated intra-uterine device to infra-umbilical skin: a rare case report.

Nigat Amsalu Addis, Yared Alem Sibhat, Yohannis Derbew Molla, Wasihun Nigdu Mengestu, Abebe Sinknew Seid, Michael Argaw Damite, Misganaw Abere Worku

Abstract readCase Reports
In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Nigat Amsalu AddisDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Nigat.Amsalu@uog.edu.et.ORCID http://orcid.org/0009-0005-0328-6088
Yared Alem SibhatDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Yohannis Derbew MollaDepartment of Surgery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Wasihun Nigdu MengestuDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Abebe Sinknew SeidDepartment of Dermatovenereology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Michael Argaw DamiteMedicos Art Club (MAC)-Ethiopia, Addis Ababa, Ethiopia.
Misganaw Abere WorkuDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIUDs are effective, reversible and safe methods of contraception. The mechanism of action of IUDs as a group is inducing endometrial atrophy, apoptosis, altering tubal motility; preventing sperm permeability, fertilization, and implantation. Complications of IUD include menstrual disturbance, pelvic pain, and increased risk of ectopic pregnancy with contraceptive failure, device expulsion, uterine perforation or transmural migration with misplacement of the device. Pregnancies and IUD migration are uncommon complications, occurring in 1 to 2 from 1,000 users. The clinical presentation of migrated IUDs depends on the final anatomic location at diagnosis. Migration can be asymptomatic and incidentally found while imaging for any other diagnosis or may have various acute clinical presentations. CASE PRESENTATION: We present the case of a 38-years-old Ethiopian woman with unusual migration of IUD to the infra-umbilical skin. She had infra-umbilical skin discoloration associated with intermittent itching for two months duration. On physical examination, there was diffuse violaceous patch over the infra-umbilical skin measuring 7 centimeters on its longest dimension and visible foreign body (IUD) with tiny sinus tract formation. Visible stem of copper-containing IUD was grasped by ring forceps and removed with gentle traction without complication during or following extraction. Removal of misplaced IUD with completely non-invasive manner makes this case special in addition to the unique site of migration to the infra-umbilical skin. CONCLUSION AND RECOMMENDATION: To our knowledge, this is what likely to be the first reported case of IUD migration to the infra-umbilical skin which bestows a new finding to the existing literatures. Despite rare occurrence, possible IUD complications should be included in the informed consent process before insertion. Self-examination of the strings and vigilant evaluation at regular checkup is recommended for early detection of migrated IUDs.

Indexed as

Intrauterine Device MigrationAdultDevice RemovalFemaleForeign-Body MigrationHumansIntrauterine Devices, CopperSkinUmbilicusCase reportInfra-umbilical skinIntrauterine deviceMigrationViolaceous Patch

Identifiers

PMID39736668
PMCPMC11684260

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.