PMC9852525_01
A 34-year-old woman presented with an abscess of the abdominal wall around the IUD, which had been discharging pus for 10 days. Yellow arrows indicate the IUD. (A) In this longitudinal section of the lower abdominal wall, linear hyperechoes (IUD) can be seen, folding the rectus abdominis through the center of the cesarean scar. (B) In this cross-section of the inferior abdominal wall, linear hyperechoes (IUD) can be seen, clasping the straight muscle of the abdomen through the center of the cesarean scar. (C) In this cross-section of the lower abdominal wall, abscess echoes can be seen in front of the anterior wall of the bladder, and dotted blood flow signals can be seen surrounding them. (D) CT cross-section of the inferior abdomen. A V-shaped metal IUD can be seen on the lower abdominal wall. (E) Part of the IUD was removed from the lower abdominal wall during the operation. (F) The MCu-IUD was extracted from the inferior abdominal wall during the operation.. IUD: intrauterine device.
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PMC9852525_01_fsurg-09-956856-g001.jpg
F1
The IUD was surrounded by a hypoechoic envelope of about 2.1 x 1.1 x 1.5 cm; dotted blood flow signals were visible around it (Figure 1A-C). It was considered that the IUD was highly likely to be displaced, the uterus was slightly larger, and watery density was shown inside (Figure 1D). The other end of the IUD was enveloped by the anterior sheath of the rectus abdominis; the anterior sheath was cut apart, allowing the removal of a complete V-shaped IUD (MCu-IUD) (Figure 1E,F).