Title: Migrated Intra-Uterine Device to Infra-umbilical skin: A rare Case Report
Version: 1 Date: 11 Oct 2024
Reviewer's report:
the paper has fundamental shortcomings and lacks quality writing and innovation. However,
recommendations for improvement have been provided. Best wishes
Abstract:
• Begin with a concise background statement on IUD efficacy and migration risks.
• Clearly state the objective of presenting this unique case.
• Summarize key case details more succinctly, highlighting the unusual migration site.
• Conclude with specific clinical implications and recommendations.
• Replace vague terms like "most effective" with specific efficacy rates from current literature.
• Differentiate clearly between established mechanisms of action and hypotheses.
• Use more precise medical terminology throughout.
• Explicitly state this is likely the first reported case of IUD migration to infra umbilical skin.
• Highlight how this expands the current understanding of potential IUD migration sites.
• Provide more specific guidance for clinicians on monitoring and management of IUD users.
• Suggest targeted areas for future research based on insights from this case.
Introduction:
• Begin with a broader context of contraceptive methods before narrowing to IUDs.
• Organize information more logically, grouping related concepts.
• Use clear topic sentences to guide the reader through each paragraph.
• Include more recent statistics on IUD usage and complication rates.
• Provide a more comprehensive overview of IUD migration patterns and sites.
• Critically evaluate the current state of knowledge on IUD migration mechanisms.
• Clearly articulate the gap in current literature this case addresses.
• Explain the potential clinical significance of identifying new migration sites.
• Ensure all factual statements are supported by appropriate, recent references.
• Consider including systematic reviews or meta-analyses where available.
Case Presentation:
• Present patient information in a more standardized, chronological order.
• Include relevant negative findings to provide a comprehensive clinical picture.
• separate the patient's history, physical examination findings, diagnostic tests, and management.
• Provide more specifics on the IUD insertion procedure and immediate post-insertion period.
• Include any relevant past medical history or risk factors for IUD migration.
• Describe the appearance and characteristics of the skin changes in more detail.
• Explain the rationale for the chosen management approach.
• Describe any patient counseling or follow-up recommendations in more detail.
• Ensure all mentioned figures are properly referenced and included.
• Consider adding a diagram to illustrate the presumed migration path.
Discussion:
• Discuss in greater depth potential mechanisms for migration to the infraumbilical skin.
• Compare and contrast this case with other unusual IUD migration sites reported in literature.
• Consider factors that may have contributed to this atypical migration pattern.
• Provide more specific recommendations for follow-up and monitoring of IUD users.
• Discuss implications for patient education and informed consent processes.
• Address potential modifications to insertion techniques or device design that could reduce
migration risk.
• Acknowledge the limitations of drawing broad conclusions from a single case report.
• Discuss potential confounding factors or alternative explanations for the observed outcome.
• Suggest specific studies or approaches to better understand and prevent IUD migration.
• Discuss the potential value of a registry or systematic review of unusual IUD migration cases.
Conclusion:
• Summarize the unique aspects of this case more concisely.
• Emphasize the specific clinical lessons learned.
• Provide clear, actionable recommendations for clinicians.
• Discuss how this case contributes to the overall body of knowledge on IUD complications.
• Suggest how findings might influence future research or clinical practice guidelines.