CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Abnormal Uterine Bleeding Caused by Displacement of an Intrauterine Device
Zhixiang Zou 1
Yijia Du 2
Jianjian Wang 2
Bifeng Fu 2
1. The First Hospital of Hunan University of Chinese Medicine, Changsha, China
2. National Medical Research Center of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Nankai, China
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Abstract
Abstract: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 one 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.
Summary
Keywords
Abnormal uterine bleeding, case report, IUD displacemen, Surgery, Uterine Perforation
Received
11 December 2025
Accepted
17 February 2026
Copyright
© 2026 Zou, Du, Wang and Fu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Jianjian Wang; Bifeng Fu
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