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The lost intrauterine contraceptive device (IUCD) is a relatively common problem and ultrasound should be the first investigation
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They are seen as highly reflective structures and their relationship to the uterine cavity can be determine.
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If the IUCD cannot be located in the pelvis, then a plain film of the abdomen should be taken in case the device has migrated through the uterus.
longitudinal ultrasound scan.
Intrauterine contraceptive device seen as a linear reflective echo within the uterine cavity