Lippes Loop Inserted 45 Years Back: The Dilemma to Remove It or Leave It in situ. A Case Report with Review of Literature.

IUD's like Lippes Loop (LL), intended for long term use are retained for years and menopausal ladies often present with LL in situ either deliberately or forgotten. We report a case of Lippes Loop removal inserted 45 years back in a woman complaining of post menopausal bleeding. The inserted LL thread was incidentally discovered during clinical examination and Ultrasonography. We also reviewed literature to determine the evidence for and against removal of an inert IUD.

[1]  Kuan-Gen Huang,et al.  Forgotten intrauterine device wandering in the abdomen of an endometrial cancer patient , 2014 .

[2]  Ravindra S. Pukale,et al.  Forgotten Lippes loop , 2013 .

[3]  V. Sujatha.  Forgotten intrauterine devices presenting with pre- and postmenopausal bleeding: a case series , 2012, Tropical doctor.

[4]  N. Malhotra,et al.  Forgotten Lippes Loop associated with Endometrial Carcinoma , 2011 .

[5]  R. Bharathi,et al.  Mystery of the missing loop. , 2011, Medical journal, Armed Forces India.

[6]  R. Karsmakers,et al.  Chronic kidney disease after vesico-vaginal stone formation around a migrated intrauterine device , 2010, BMJ Case Reports.

[7]  M. Pillai,et al.  Serious morbidity with long-term IUD retention , 2009, Journal of Family Planning and Reproductive Health Care.

[8]  H. Soleymani majd,et al.  A postmenopausal women presenting with atypical symptoms and cervical cancer: a case report , 2008, Cases journal.

[9]  A. Tsafrir,et al.  One intrauterine device lost, two found. , 2008, Fertility and sterility.

[10]  M. Başbuğ,et al.  Surgical management of intra-abdominal mislocated intrauterine devices. , 2007, Contraception.

[11]  R. Lely,et al.  Case 85: pelvic actinomycosis in association with an intrauterine device. , 2005, Radiology.

[12]  S. Keay,et al.  Stage Ia endometrial carcinoma diagnosed on removal of an IUD , 2001, Journal of Family Planning and Reproductive Health Care.

[13]  A. Kriplani,et al.  Secondary infertility and dysfunctional uterine bleeding from a Lippes Loop placed 32 years earlier , 2000, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[14]  S. Taneepanichskul,et al.  Uterine perforation with Lippes loop intrauterine device-associated actinomycosis: a case report and review of the literature. , 2000, Contraception.

[15]  Thomsen Rj,et al.  Dr. Lippes and his loop. Four decades in perspective. , 1999 .

[16]  R. J. Thomsen,et al.  Dr. Lippes and his loop. Four decades in perspective. , 1999, The Journal of reproductive medicine.

[17]  M. Sharma,et al.  Primary carcinoma of fallopian tube after prolonged retention of Lippes loop. , 1998, Journal of the Indian Medical Association.

[18]  Dwyer Na,et al.  Removal of an embedded IUD using the resectoscope. , 1991 .

[19]  J. E. Gauza,et al.  [Evaluation of the IUD: causes for removal]. , 1987, Jornal brasileiro de ginecologia.

[20]  Ortho stops marketing Lippes Loop; cites economic factors. , 1985, Contraceptive technology update.

[21]  O. Abdalla.  Perforation of the rectum by a Lippes Loop. , 1984 .

[22]  Bromham Dr.  IUD removal problems: a study of associated factors. , 1982 .

[23]  M. Elstein,et al.  Bacteriological colonisation of uterine cavity: role of tailed intrauterine contraceptive device. , 1981, British medical journal.

[24]  K. McPherson,et al.  Pelvic inflammatory disease and the intrauterine device: findings in a large cohort study. , 1981, British medical journal.

[25]  M. Vessey,et al.  RISK OF ECTOPIC PREGNANCY AND DURATION OF USE OF AN INTRAUTERINE DEVICE , 1979, The Lancet.

[26]  T. McLeod,et al.  Tubo-ovarian actinomycosis and the IUCD. , 1977, British medical journal.

[27]  S. Koetsawang,et al.  Outcome of Pregnancy in the Presence of Intrauterine Device , 1977, Acta obstetricia et gynecologica Scandinavica.

[28]  R. Harrison.  Adenocarcinoma of the uterine body following use of intrauterine contraceptive device. , 1972, Irish journal of medical science.

[29]  R. Solal,et al.  Intrauterine devices broken in situ , 1970 .