The Shift from X-Rays to Ultrasound in the Detection of IUDS - A Step Forward or Backward? - A Case Report

Intrauterine contraceptive device is an effective temporary reversible method of contraception. This is case of 25 year old women with an obstetric score P1L1, previous normal vaginal delivery who underwent copper-T insertion immediate postpartum 3 years ago, came for copper T removal. On clinical examination, copper-T thread not visualised, hence as routine investigation patient was subjected to ultrasound pelvis to confirm her copper T and ultrasound showed linear hyperechoic structure in the lower uterine segment. Hence Copper-t removal was attempted under ultrasound guidance, however it was neither visualised nor removed. Patient had no history of spontaneous expulsion as well. Hence, patient was subjected to X-ray Abdomen like the olden times, and X-ray subjective of no evidence of Copper-T insitu. If patient was reassured without confirming the presence of copper-T, it could have led to further complications such as perforation requiring diagnostic laparoscopy. Hence, we conclude that confirmatory with X-ray abdomen is necessary in patients with intrauterine device.