Abstract: Intrauterine device (IUD) is currently the most widely used contraceptive tool in China. IUD is easy to break, incarcerate and ectopic when placed for a long time. Once IUD is found to be broken, incarcerated, and ectopic, diagnosis should be made. A safe, reliable, and minimally invasive surgical procedure should be chosen to improve the success rate of removing the IUD and to avoid serious complications. Due to direct vision and minimally invasive, hysteroscopy provides a new method for removing the IUD. For elderly women with menopausal time of more than 2 years and IUD partial deformation, fracture and residual, the difficulty of removing the IUD is large and the complications are many. Patients can be hospitalized and underwent hysteroscopic under ultrasound to reduce the incidence of complications and improve the success rate of removing the IUD. Peking University Shenzhen Hospital admitted a 72-year-old female patient on March 11, 2019. The patient was admitted to the hospital with intrauterine device rupture. After admission, hysteroscopic was performed under ultrasound to remove the IUD successfully. This article reviews the relevant literature for the case report.

Key words: Intrauterine devices, Menopause, Hysteroscopes, Anesthesia