# Management of Unintended Pregnancy, Complicated by the Presence of Intrauterine Contraceptive Device and a Large Uterine Fibroid: A Case Report

## TL;DR

A rare case of unintended pregnancy with an intrauterine device and a large fibroid is reported, emphasizing the need for proper counseling and follow-up.

## Contribution

This case report highlights the rare and complex scenario of unintended pregnancy with an IUD and a large fibroid.

## Key findings

- Unintended pregnancy with an IUD in place is rare but poses increased obstetrical risks.
- The presence of a large uterine fibroid complicates management and increases gynecological risks.
- Proper counseling and follow-up are essential to prevent complex gynecological pathology.

## Abstract

Unintended pregnancy following placement of an intrauterine device is a rare occurrence; however, it entails increased obstetrical risks if the device remains within the uterine cavity. This already challenging condition may be exacerbated by additional gynecological conditions, which would be of little or moderate risk on their own. In this report, we present such an exceedingly rare case, namely that of a 42-year-old woman who presented with unintended pregnancy, the presence of an IUD in the endometrial cavity, and a large (>10 cm) uterine fibroid. This report highlights the importance of proper patient counseling on the potential failure of IUDs and the need for frequent follow-up assessment of its placement, along with general gynecological assessment, in order to avoid the occurrence of complex gynecological pathology.