3D Detected a Missed IUD Despite Threads at the Cervix in Post Caesarean Section Delivery: A Case Report

Intrauterine devices (IUDs) have been used as a commonly convenient, efficient, relatively safe, and inexpensive method of contraception worldwide. Contraceptive efficacy is related to intrauterine location of IUD. Insertion of IUD without prior pelvic evaluation by ultrasound is a predisposing factor for unsuitable placement and may reduce contraception effectiveness.
We present a patient who referred to Royan institute in Tehran (Iran) with IUD displacement due to an inappropriate insertion of the device into her recent cesarean section scar.
IUD displacement into the myometrium could be done in clinics, but advanced laparoscopy is needed for confirmed diagnosis and IUD complication management. Three- dimensional transvaginal ultrasound (3DTVUS) clearly displays the correct position of the IUD in the uterine cavity much better than the two-dimensional transvaginal ultrasound (2DTVUS).