Evidence map›Paper›PMID 40421350›Full record

ArticleCureus2025

Intrauterine Device Migration Into the Rectum: A Case Report.

Fatemah Alrowili, Lama J Albaish, Kawthar H Alabduljabbar

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Fatemah AlrowiliObstetrics and Gynecology, King Fahad University Hospital, Khobar, SAU.
Lama J AlbaishCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Kawthar H AlabduljabbarCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intrauterine devices (IUDs) are an accepted and popular method of contraception for women looking for long-term pregnancy prevention. There are possible risks and complications, yet migration remains uncommon. Here, we report a case of IUD migration through the uterus into the cul-de-sac and the rectum. A 27-year-old female without any notable medical history had a history of a copper IUD insertion after she had delivered her second baby with the aim of contraception. Six months later, an unintended pregnancy occurred which was delivered successfully. After five years of insertion, she felt like a thread coming out of the anal opening upon defecation with on-and-off abdominal pain and constipation. During a pelvic examination, the IUD string was felt in the rectum. While imaging showed a retroverted uterus with an IUD seen in the left cul-de-sac space, the end of the IUD was seen directed and sited within the left lateral rectal lumen. The patient was referred under the care of the general surgery department electively for IUD removal as a case of anal fissure for lateral internal sphincterotomy. A suspected case of IUD migration should undergo gynecological analysis and radiological imaging. Finally, a prospective investigation and follow-up of the IUD after insertion are needed.

Indexed as

case reportintrauterine devicemigrationperforationrectum

Identifiers

PMID40421350
PMCPMC12105645

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.