{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T13:54:19Z","timestamp":1772632459246,"version":"3.50.1"},"reference-count":6,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Though rare, complications associated with intrauterine devices (IUDs) can present with atypical symptoms, leading to diagnostic challenges. This case report describes a 36-year-old multiparous woman with a history of IUD insertion who presented with intermittent light bleeding menstrual periods for 1 year, in the without abdominal pain or dysmenorrhea. Imaging studies (including pelvic X-ray and ultrasound) revealed complete uterine perforation and IUD displacement into the pelvic cavity. The IUD was successfully removed through a combined hysteroscopic and laparoscopic procedure. This case emphasizes that severe complications, such as IUD perforation and displacement, may manifest solely as minor abnormal uterine bleeding. This finding suggests that even in the absence of pain, patients with persistent irregular bleeding patterns should remain highly vigilant for IUD-related complications. Since ultrasonography remains the gold standard for assessment, timely diagnosis of these complications is crucial to prevent potential long-term sequelae.<\/jats:p>","DOI":"10.3389\/fmed.2026.1765829","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T07:02:10Z","timestamp":1772607730000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Abnormal uterine bleeding caused by displacement of an intrauterine device"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhixiang","family":"Zou","sequence":"first","affiliation":[{"name":"Department of Gynecology, The First Hospital of Hunan University of Chinese Medicine","place":["Changsha, Hunan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yijia","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Traditional Chinese Orthopedics and Traumatology Ward, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine","place":["Tianjin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjian","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Traditional Chinese Orthopedics and Traumatology Ward, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine","place":["Tianjin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bifeng","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Traditional Chinese Orthopedics and Traumatology Ward, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine","place":["Tianjin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.contraception.2020.01.008","article-title":"The 6th international IUD symposium","volume":"101","author":"Hubacher","year":"2020","journal-title":"Contraception"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s00261-023-04052-3","article-title":"CT imaging of intrauterine devices (IUD): expected findings, unexpected findings, and complications","volume":"49","author":"Zhu","year":"2024","journal-title":"Abdom Radiol (NY)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1016\/j.contraception.2008.11.012","article-title":"Side effects from the copper IUD: do they decrease over time?","volume":"79","author":"Hubacher","year":"2009","journal-title":"Contraception"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2103","DOI":"10.1016\/S0140-6736(22)00015-0","article-title":"Intrauterine device-related uterine perforation incidence and risk (APEX-IUD): a large multisite cohort study","volume":"399","author":"Reed","year":"2022","journal-title":"Lancet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.7863\/jum.2007.26.10.1389","article-title":"Imaging of intrauterine contraceptive devices","volume":"26","author":"Peri","year":"2007","journal-title":"J Ultrasound Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1002\/uog.6421","article-title":"Three-dimensional ultrasound detection of abnormally located intrauterine contraceptive devices which are a source of pelvic pain and abnormal bleeding","volume":"34","author":"Benacerraf","year":"2009","journal-title":"Ultrasound Obstet Gynecol"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1765829\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T07:02:12Z","timestamp":1772607732000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1765829\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":6,"alternative-id":["10.3389\/fmed.2026.1765829"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1765829","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,4]]},"article-number":"1765829"}}