Pregnancy in a Patient with an Intra-Abdominal Levonorgestrel-Releasing Intrauterine System

Pleun Beelen*, Dominique E. N. M. Suykerbuyk-de Hoog, Waltje Jager, Peggy M. A. J. Geomini

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


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 languageEnglish
Pages (from-to)164-166
Number of pages3
JournalJournal of Gynecologic Surgery
Issue number3
Publication statusPublished - Jun 2018


  • IUS
  • levonorgestrel
  • intra-abdominal
  • pregnancy

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