{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:07Z","timestamp":1786649647143,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>\n                    Intrauterine devices (IUCDs), such as the multi-load copper T, are widely used long-acting reversible contraceptive methods due to their effectiveness and convenience. However, complications can arise in rare instances, such as device migration.\n                    <jats:bold>Case Series Report<\/jats:bold>\n                    Case 1: A 26-year-old, G5 P2 A2 L2, presented with 2 months of amenorrhoea and inability to feel CuT thread. USG done revealed intra-uterine pregnancy of approx. 10 weeks gestational age, however intrauterine CuT was not visualized. So, we presumed it a case of expelled CuT. Regular antenatal care continued till term and LSCS was performed at 39 weeks. Intraoperatively a thread was seen embedded in the omentum lying adjacent to the uterus. Further exploration revealed multi-load-copper 375 with pus collection around it. Case 2: A 36-year-old female, Para 2, Live 2, presented with complaints of lower abdominal pain and multiple episodes of haematuria since last 6 months. An initial pelvic ultrasound showed a hyperechogenic intravesical structure of 3.3 cm, suggesting a urinary bladder calculus. A pelvic CT scan revealed a metallic T-shaped structure within the urinary bladder suggestive of a misplaced copper T device. Patient underwent cystoscopic removal of calcified IUCD. Patient had no further urinary symptoms following removal. These cases highlight the importance of monitoring patients with IUCDs for potential complications, especially when threads are missing. They also emphasize considering intravesical migration of CuT as a cause of haematuria in women. Additionally, pelvic cavity exploration during LSCS is vital to locate any migrated IUCDs when such a history exists.\n                  <\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_2126_24","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T13:00:49Z","timestamp":1767013249000},"page":"5225-5228","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Migration of a copper T intrauterine device: A clinical Insight into complications and diagnostic approaches"],"prefix":"10.4103","volume":"14","author":[{"given":"Sangam","family":"Jha","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jafeesha B.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas Chandra","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raveena","family":"Bhagat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, AIIMS Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"R1-20251230","year":"2019","journal-title":"United Nations. Contraceptive Use by Method 2019: Data Booklet. UN"},{"key":"R2-20251230","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1363\/psrh.12017","article-title":"Contraceptive failure in the United States: Estimates from the 2006-2010 national survey of family growth","volume":"49","author":"Sundaram","year":"2017","journal-title":"Perspect Sex Reprod Health"},{"key":"R3-20251230","doi-asserted-by":"crossref","first-page":"108631","DOI":"10.1016\/j.ijscr.2023.108631","article-title":"Migrated intrauterine device: Case series report","volume":"111","author":"Aljohani","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"R4-20251230","doi-asserted-by":"crossref","first-page":"19","DOI":"10.2147\/OAJC.S85546","article-title":"Intrauterine devices and risk of uterine perforation: Current perspectives","volume":"7","author":"Rowlands","year":"2016","journal-title":"Open Access J Contracept"},{"key":"R5-20251230","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s10397-017-1032-2","article-title":"Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs)","volume":"15","author":"Sun","year":"2018","journal-title":"Gynecol Surg"},{"key":"R6-20251230","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/AOG.0000000000005299","article-title":"Risks of uterine perforation and expulsion associated with intrauterine devices","volume":"142","author":"Fassett","year":"2023","journal-title":"Obstet Gynecol"},{"key":"R7-20251230","article-title":"Missing IUCD strings: Role of imaging in locating the misplaced device","volume":"11","author":"Goswami","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"R8-20251230","first-page":"103","article-title":"Perforated intrauterine device in the abdomen: Leave or retrieve?","volume":"32","author":"Seto","year":"2025","journal-title":"JMIG"},{"key":"R9-20251230","doi-asserted-by":"crossref","first-page":"4544","DOI":"10.1016\/j.radcr.2024.07.073","article-title":"Severe complications of intrauterine device migration: Case reports of rectal perforation and omental localization","volume":"19","author":"Benchaou","year":"2024","journal-title":"Radiol Case Rep"},{"key":"R10-20251230","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1159\/000537931","article-title":"Bladder stone formation due to intravesical migration of the intrauterine device: A report of 2 cases","volume":"108","author":"\u015eam","year":"2024","journal-title":"Urol Int"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2126_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:29Z","timestamp":1786647389000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2126_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2126_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2024-12-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}