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

Maruti Sinha; Rekha Rani; Ridhima Gupta; Kishan Chand; Gurcharan Kaur

doi:10.7860/JCDR/2015/12981.5832

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

J Clin Diagn Res. 2015 Apr;9(4):QE01-5. doi: 10.7860/JCDR/2015/12981.5832. Epub 2015 Apr 1.

Authors

Maruti Sinha¹, Rekha Rani², Ridhima Gupta³, Kishan Chand⁴, Gurcharan Kaur⁵

Affiliations

¹ CMO-Consultant, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India.
² CMO, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India .
³ Resident Physician, Department of Obstetrics and Gynaecology, Charleston Area Medical Center, West Virginia University , Charleston Division, Charleston, West Virginia .
⁴ Senior Specialist and Head of Department, Department of Anaesthesia, Kasturba Hospital , Delhi, India .
⁵ Senior Specialist and Head of Department, Department of Obstetrics and Gynaecology, Kasturba Hospital , Delhi, India .

Abstract

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.

Keywords: Intra uterine contraceptive devices; Menopause; Perforation.

Publication types

Review