The Lost Loop: A Case of a Forgotten Lippes Loop in a Menopausal Woman Leading to Pyometra and Spontaneous Uterine Perforation

Intrauterine contraceptive devices have probably been the best long-acting reversible contraceptives available since the 1900s. Devices like the Lippes Loop, the oldest form of intrauterine devices, in vogue in the 1960s, are still found in women; most likely being forgotten. We report a case of a Lippes Loop that was inserted more than 50 years ago, and now presented with acute abdomen, due to a silent perforation in a post-menopausal woman.