{"id":"https://openalex.org/W7225731385","doi":"https://doi.org/10.1097/rc9.0000000000001141","title":"Delayed extrauterine copper IUD identified 1 month after repeat insertion in a woman with multiple sclerosis: a case report","display_name":"Delayed extrauterine copper IUD identified 1 month after repeat insertion in a woman with multiple sclerosis: a case report","publication_year":2026,"publication_date":"2026-10-09","ids":{"openalex":"https://openalex.org/W7225731385","doi":"https://doi.org/10.1097/rc9.0000000000001141","pmid":"https://pubmed.ncbi.nlm.nih.gov/43006040","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13747433"},"language":"en","primary_location":{"id":"doi:10.1097/rc9.0000000000001141","doi":"https://doi.org/10.1097/rc9.0000000000001141","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001141","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/rc9.0000000000001141","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161392513","display_name":"Fakhroddin Kiani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800596343","display_name":"Imam Khomeini Hospital","ror":"https://ror.org/05v2x6b69","country_code":"IR","type":"healthcare","lineage":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]},{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Fakhroddin Kiani","raw_affiliation_strings":["Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082566796","display_name":"Abbas Alibakhshi","orcid":"https://orcid.org/0000-0002-7133-7888","observed_orcids":["https://orcid.org/0000-0002-7133-7888"]},"institutions":[{"id":"https://openalex.org/I2800596343","display_name":"Imam Khomeini Hospital","ror":"https://ror.org/05v2x6b69","country_code":"IR","type":"healthcare","lineage":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]},{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Abbas Alibakhshi","raw_affiliation_strings":["Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134743223","display_name":"Nima Amini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I88085062","display_name":"Mazandaran University of Medical Sciences","ror":"https://ror.org/02wkcrp04","country_code":"IR","type":"education","lineage":["https://openalex.org/I88085062"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Nima Amini","raw_affiliation_strings":["Medical Department, Mazandaran University of Medical Sciences, Sari, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Department, Mazandaran University of Medical Sciences, Sari, Iran","institution_ids":["https://openalex.org/I88085062"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016831005","display_name":"Nafiseh Shabani Mofrad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I48379061","display_name":"Shahid Beheshti University","ror":"https://ror.org/0091vmj44","country_code":"IR","type":"education","lineage":["https://openalex.org/I48379061"]},{"id":"https://openalex.org/I58048189","display_name":"Shahid Beheshti University of Medical Sciences","ror":"https://ror.org/034m2b326","country_code":"IR","type":"education","lineage":["https://openalex.org/I58048189"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Nafiseh Shabani Mofrad","raw_affiliation_strings":["Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I48379061","https://openalex.org/I58048189"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140196615","display_name":"Abdul Latif Abid","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Abdul Latif Abid","raw_affiliation_strings":["Department of Fellowship and Subspeciality Level, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Fellowship and Subspeciality Level, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5119774782","display_name":"Omid Rezaei","orcid":"https://orcid.org/0009-0002-8566-2566","observed_orcids":["https://orcid.org/0009-0002-8566-2566"]},"institutions":[{"id":"https://openalex.org/I2800596343","display_name":"Imam Khomeini Hospital","ror":"https://ror.org/05v2x6b69","country_code":"IR","type":"healthcare","lineage":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]},{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Omid Rezaei","raw_affiliation_strings":["Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran"],"raw_orcid":"https://orcid.org/0009-0002-8566-2566","affiliations":[{"raw_affiliation_string":"Department of Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran","institution_ids":["https://openalex.org/I2800596343","https://openalex.org/I70640408"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5119774782"],"corresponding_institution_ids":["https://openalex.org/I2800596343","https://openalex.org/I70640408"],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"138","issue":"11","first_page":"5218","last_page":"5221"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11910","display_name":"Foreign Body Medical Cases","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/copper-iud","display_name":"copper intrauterine device","score":0.9110000133514404},{"id":"https://openalex.org/keywords/uterine-perforation","display_name":"uterine perforation","score":0.9390000104904175},{"id":"https://openalex.org/keywords/multiple-sclerosis","display_name":"multiple sclerosis","score":0.8009999990463257},{"id":"https://openalex.org/keywords/broad-ligament","display_name":"broad ligament","score":0.6650000214576721},{"id":"https://openalex.org/keywords/pelvic-pain","display_name":"pelvic pain","score":0.5490000247955322},{"id":"https://openalex.org/keywords/pregnancy-exclusion","display_name":"pregnancy exclusion","score":0.5490000247955322},{"id":"https://openalex.org/keywords/computed-tomography","display_name":"computed tomography","score":0.5529999732971191},{"id":"https://openalex.org/keywords/ultrasonography","display_name":"ultrasonography","score":0.9210000038146973}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9448999762535095},{"id":"https://openalex.org/C2781310275","wikidata":"https://www.wikidata.org/wiki/Q3918693","display_name":"Uterine perforation","level":5,"score":0.6725000143051147},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5543000102043152},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.5388000011444092},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5309000015258789},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.5253999829292297},{"id":"https://openalex.org/C2776810592","wikidata":"https://www.wikidata.org/wiki/Q899868","display_name":"Intrauterine device","level":5,"score":0.47870001196861267},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.4339999854564667},{"id":"https://openalex.org/C2779319320","wikidata":"https://www.wikidata.org/wiki/Q901433","display_name":"Uterine rupture","level":3,"score":0.4311000108718872},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.391400009393692},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.3855000138282776},{"id":"https://openalex.org/C2779066055","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Uterus","level":2,"score":0.37279999256134033},{"id":"https://openalex.org/C2993569511","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Pelvic inflammatory disease","level":2,"score":0.34619998931884766},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.32429999113082886},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.31630000472068787},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.31529998779296875},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3059000074863434},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.296999990940094},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.29159998893737793},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.29100000858306885},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.2825999855995178},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C2778227567","wikidata":"https://www.wikidata.org/wiki/Q3693643","display_name":"Uterine horns","level":3,"score":0.26409998536109924},{"id":"https://openalex.org/C2910106459","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Lower abdominal pain","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C2778739407","wikidata":"https://www.wikidata.org/wiki/Q165372","display_name":"CLIPS","level":2,"score":0.2612999975681305},{"id":"https://openalex.org/C2992927888","wikidata":"https://www.wikidata.org/wiki/Q424317","display_name":"Acute abdominal pain","level":3,"score":0.25619998574256897},{"id":"https://openalex.org/C3019796121","wikidata":"https://www.wikidata.org/wiki/Q5048356","display_name":"Case presentation","level":2,"score":0.25519999861717224},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.25110000371932983}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/rc9.0000000000001141","doi":"https://doi.org/10.1097/rc9.0000000000001141","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001141","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},{"id":"pmid:43006040","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43006040","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of surgery case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1097/rc9.0000000000001141","doi":"https://doi.org/10.1097/rc9.0000000000001141","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001141","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W2024728113","https://openalex.org/W2041647784","https://openalex.org/W2976715109","https://openalex.org/W4367321787","https://openalex.org/W4385520117","https://openalex.org/W4385767077","https://openalex.org/W4402927081"],"related_works":["https://openalex.org/W4409204721","https://openalex.org/W7154401488","https://openalex.org/W7203931441","https://openalex.org/W2408316792","https://openalex.org/W7162438545","https://openalex.org/W7222846804","https://openalex.org/W1983241451","https://openalex.org/W7204581528","https://openalex.org/W7070746871","https://openalex.org/W2318185246"],"abstract_inverted_index":{"Introduction":[0],"and":[1,30,67,85,125,150,164,194,229],"importance:":[2],"Missing":[3,60],"strings":[4,19,61,117],"following":[5],"intrauterine":[6,184],"device":[7],"(IUD)":[8],"insertion":[9,56],"are":[10,118],"a":[11,68,86],"common":[12],"clinical":[13],"finding;":[14],"however,":[15],"misattribution":[16],"of":[17,27,34,216,222,232],"missing":[18],"to":[20,64,130,189],"spontaneous":[21],"expulsion":[22],"may":[23,110],"delay":[24],"the":[25,91,135,172,214,220,230],"diagnosis":[26,149],"uterine":[28,105,192],"perforation":[29,106,193],"extrauterine":[31,88,96,113,139,196,227],"migration.":[32,114],"Presentation":[33],"case:":[35],"A":[36],"35-year-old":[37],"woman":[38],"with":[39,48,155,169,205],"relapsing-remitting":[40],"multiple":[41],"sclerosis":[42],"(MS)":[43],"presented":[44],"in":[45,57,73,112],"July":[46],"2024":[47],"pelvic":[49],"pain,":[50],"4":[51],"years":[52],"after":[53],"copper":[54],"IUD":[55,70,84,89,97,116,157],"August":[58],"2020.":[59],"were":[62],"presumed":[63],"indicate":[65],"expulsion,":[66],"second":[69],"was":[71,98],"placed":[72],"January":[74],"2025.":[75],"Persistent":[76],"pain":[77],"subsequently":[78],"prompted":[79],"imaging,":[80],"which":[81],"revealed":[82],"an":[83,217],"migrated":[87],"within":[90],"left":[92],"broad":[93],"ligament.":[94],"The":[95],"successfully":[99],"removed":[100],"laparoscopically.":[101],"Clinical":[102],"discussion:":[103],"IUD-related":[104],"is":[107,134,186],"rare":[108],"but":[109],"result":[111],"When":[115],"not":[119,187],"visible,":[120],"pregnancy":[121,159],"should":[122,127,160,166],"be":[123,128,162,167],"excluded,":[124,163],"imaging":[126,146,165],"performed":[129],"confirm":[131],"location.":[132],"Laparoscopy":[133],"preferred":[136],"approach":[137],"for":[138,202],"devices.":[140,197],"Our":[141],"case":[142,212],"emphasizes":[143],"that":[144],"delayed":[145],"can":[147],"postpone":[148],"treatment.":[151],"Conclusion:":[152],"In":[153],"patients":[154],"nonvisible":[156],"strings,":[158],"first":[161],"obtained,":[168],"ultrasonography":[170,225],"as":[171],"initial":[173],"modality,":[174],"followed":[175],"by":[176],"abdominal":[177],"radiography":[178],"or":[179],"computed":[180],"tomography":[181],"(CT)":[182],"if":[183],"location":[185],"confirmed,":[188],"prevent":[190],"missed":[191],"retained":[195],"Copper":[198],"IUDs":[199],"remain":[200],"acceptable":[201],"most":[203],"individuals":[204],"MS":[206],"(U.S.":[207],"MEC":[208],"Category":[209],"1).":[210],"This":[211],"highlights":[213],"importance":[215],"imaging-first":[218],"algorithm,":[219],"utility":[221],"CT":[223],"when":[224],"suggests":[226],"migration,":[228],"safety":[231],"laparoscopic":[233],"retrieval.":[234]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-11T00:00:00"}