Letter to the Editor

An Unusual Cause of Chronic Lower Back Pain in an Elderly Woman: Lost Intrauterine Device

Authors: Nuray Kadioğlu Voyvoda, MD, Gülay Koçak, MD, Erdem Koçak, MD, Bekir Voyvoda, MD

Abstract

To the Editor:


Intrauterine contraceptive devices (IUCD) are an effective means of contraception for many women worldwide. Migration of an IUCD into the urinary bladder, rectum, colon, peritoneum, omentum, appendix, wall of the iliac vein, or ovary has been reported.1 The most important potential complication of IUCD is uterine perforation. Herein, we will describe a case in which a woman presented with chronic low back pain (CLBP) due to a lost IUCD.

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References

1. Katara AN, Chandiramani VA, Pandya SM, et al. Migration of intrauterine contraceptive device into the appendix. Indian J Surg 2004;66:179–180.
 
2.Eke N, Okpani AOU. Extrauterine translocated contraceptive device: a presentation of five cases and revisit of the enigmatic issues of iatrogenic perforation and migration. Afr J Reprod Health 2003;7:117–123.
 
3. Ansari MM, Harris SH, Haleem S, et al. Foreign body granuloma in the anterior abdominal wall mimicking an acute appendicular lump and induced by a translocated copper-T intrauterine contraceptive device: a case report. J Med Case Reports 2000;3:7007.
 
4. Weiner DK, Sakamoto S, Perera S, et al. Chronic low back pain in older adults: prevalence, reliability, and validity of physical examination findings. J Am Geriatr Soc 2006;54:11–20.