Abstract
Background: The levonorgestrel-releasing-intrauterine system (LNG-IUS) is a frequently used method of contraception worldwide. A rare, but bothersome complication of the LNG-IUS is a perforation of the uterus after insertion. Knowledge about the preferred management option in case of an intra-abdominally situated LNG-IUS during pregnancy is lacking.
Case: This case report concerns a 33-year-old patient who became pregnant despite having an intra-abdominally situated LNG-IUS. The patient was counseled about the management options. The advantages and disadvantages of expectant management versus laparoscopic removal of the LNG-IUS were discussed, and the patient preferred removal of the IUS. The procedure was performed laparoscopically at 15 weeks of pregnancy.
Results: The IUS was removed without complications, and the patient's pregnancy proceeded uneventfully.
Conclusions: Considering the degree of evidence, it is important to make a tailor-made decision in case of a pregnancy with a perforated LNG-IUS.
Original language | English |
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Pages (from-to) | 164-166 |
Number of pages | 3 |
Journal | Journal of Gynecologic Surgery |
Volume | 34 |
Issue number | 3 |
DOIs | |
Publication status | Published - Jun 2018 |
Keywords
- IUS
- levonorgestrel
- intra-abdominal
- pregnancy
- PROSPECTIVE COHORT
- DEVICE
- LAPAROSCOPY
- FAILURE
- RISKS