Management of a missing Mirena

EP: Ten days after I had an intrauterine system (IUS) inserted, I developed constant and severe pain in my left shoulder. My general practitioner (GP) arranged magnetic resonance image (MRI) scans of my shoulder, neck, and spine, which showed nothing to explain the pain I was experiencing. I also started to experience double vision in my right eye, tinnitus, and sporadic full hearing loss (fig 1).bmj;386/jul11_5/e080355/F1F1f1Fig 1Given the onset of symptoms soon after my coil was inserted, my GP tried unsuccessfully to remove the IUS. I was referred to the gynaecology department where the registrar also attempted to remove the coil, but it was excruciatingly painful. I was then booked in for a hysteroscopy under general anaesthetic where the doctors located the coil strings but not the coil. An urgent MRI scan two days later showed the coil had migrated. I underwent a laparoscopy about a week later, which went…
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