Report of a case in which an unnoticed intra-uterine device was fortuitously found in the left hypochondrium. Reflexions on mecanisms of migration and required precautions.
PIP: The article reports on 1 case of dislocation of IUD from the uterine into the abdominal cavity, dislocation discovered through radiography, after the patient had delivered a dead fetus. Missing IUD strings do not necessarily signify expulsion of the device; radiography is an essential tool of diagnosis. Uterine perforation can happen at the time of insertion; this is why IUD insertions should be done only by skilled and experienced personnel.