Retained intrauterine device, Lippes loop intrauterine device, for 40 years as unusual cause of chronic pelvic pain in 70 years old woman in Western Ethiopia

Chronic Pelvic Pain (CPP) is defined as chronic or persistent pain perceived in structures related to the pelvis for at least 6 months. This condition accounts for 10% of all outpatient gynecology visits and it significantly affects patients’ health. Etiologies of chronic pelvic pain are multifactorial in nature and vary with patients’ age. But retained intrauterine device in the uterus beyond its expiry date was not reported as the cause of chronic pelvic pain in postmenopausal age group. This case is presented to show that retained (expired) intrauterine device left in situ in postmenopausal woman could cause chronic pelvic pain. In conclusion, intrauterine devices in situ should be remembered at menopause and removed per the guideline before it causes problems and unnecessary interventions

Recurrent preeclampsia and breech presentation in term pregnancy: the case of didelphic uterus

Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. It is characterized by the presence of two endometrial cavities, each with a uterine cervix, and often a double or single vagina as well. Uterine didelphys, like other uterine malformations, is often asymptomatic and therefore remain unrecognized. The didelphic uterus has a poor reproductive outcome with a 20-30% chance of carrying pregnancy to term. I report a case of successful pregnancy in the left sided uterine body of a didelphic uterus which was complicated by recurrent preeclampsia and breech presentation. The case also demonstrates how didelphic uterus sometimes remains unrecognized until delivery. In conclusion, it is important to have high index of suspicion of didelphic uterus when term pregnancy is complicated by recurrent breech presentation.