Evidence map›Paper›PMID 42699928›Full record

ArticleInternational journal of surgery case reports2026

The "Lost" and "Found" IUD: a case of concurrent intrauterine and intraperitoneal devices with delayed recognition.

Ahlam M Alfaraj, Abdullah S Al-Darwish, Mohannad K Saffaf, Sami AlHawassi

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ahlam M AlfarajDepartment of Surgery, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-2494-6349
Abdullah S Al-DarwishDepartment of Surgery, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0007-1169-0958
Mohannad K SaffafDepartment of Surgery, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
Sami AlHawassiDepartment of Surgery, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intrauterine devices (IUDs) are widely used and highly effective long-acting reversible contraceptives; however, rare complications such as uterine perforation and device migration may occur. A critical and preventable clinical pitfall is the misinterpretation of missing retrieval strings as spontaneous expulsion, which may lead to reinsertion without imaging confirmation, resulting in dual IUD retention, delayed diagnosis, and potential complications including visceral organ injury. Case presentation: We report a case of a 45-year-old woman with an incidental finding of dual IUDs. Imaging revealed one device within the uterine cavity and a second device that had migrated intraperitoneally. Laparoscopic retrieval was successful, and the postoperative course was uneventful. Conclusion: This case highlights the importance of the systematic evaluation of "missing" IUD strings, including a pelvic examination and radiographic confirmation prior to reinsertion to prevent dual-device scenarios and associated morbidity. Early recognition, prompt imaging, and minimally invasive surgical management are essential for optimal outcomes.

Indexed as

case reportdual IUDintraperitoneal foreign bodyIUD migrationlaparoscopyuterine perforation

Identifiers

PMID42699928
PMCPMC13544787

What OpenQuestion holds

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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.