THE MISSING THREAD AND A FOREIGN BODY: A CASE REPORT
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Abstract
Intrauterine devices (IUD) were invented in 1909 by Richard Richter. Copper variant of the device was developed in 1967 by Howard Tatum and Jamie Zipper. It is one of the most preferred methods of contraception worldwide. In India, CuT 380A is supplied free of cost by the government under national program and the device is effective up to eight to ten years of insertion. Common side effects of IUD are spotting, menorrhagia, dysmenorrhea etc. Rare side effects which lead to discontinuation of use are perforation, ectopic pregnancy and infertility due to infection. Many cases have been reported where IUD have perforated the uterus and have ‘wandered’ to omentum, intestine, urinary tract etc. The copper which gets released causes foreign body reaction in the tissue it penetrates.
KEYWORDS: IUD, perforation, contraceptive, giant cells