Presentation
Incidental finding during work-up for lower back and hip pain.
Patient Data
Age: 80 years
Gender: Female
From the case:
Lippes loop
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Degenerative changes within the lumbar-sacral junction, bilateral SI and hip joints including symphysis pubis osteitis. Age-appropriate bone density.
A right paracentral Lippes loop in situ.
Case Discussion
An incidental finding of a Lippes loop intrauterine device (IUD). Though discontinued in the mid-'80s, occasionally patients may present with retained devices as in this instance. Controversy still exists regarding the removal of long-standing IUDs like the Lippes loop especially in asymptomatic patients. When presenting with post-menopausal bleeding, a long-standing retained Lippes loop may confuse the diagnosis and workup of the patient 1.
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