Dislodged Levornogestrel-intrauterine system intra-abdominally without uterine perforation: is it possible?

We report a case of dislodged Levornogestrel-intrauterine system (LNG-IUS, Mirena®) without evidence of uterine perforation. A 37-year-old Para 4+1presented with 3 months history of lower abdominal pain. Examination and imaging showed that the device was not present in the uterine cavity. She underw...

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Bibliographic Details
Main Authors: Ng, Beng Kwang, Lim, Pei Shan, Shahizon Azura Mohamed Mukari, Ng, YL, Shafiee MN, Mohd Hashim Omar
Format: Article
Language:English
Published: Faculty of Medicine, UKM Medical Centre 2016
Online Access:http://journalarticle.ukm.my/9837/
http://journalarticle.ukm.my/9837/
http://journalarticle.ukm.my/9837/1/11._Ng_et_al..pdf
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Summary:We report a case of dislodged Levornogestrel-intrauterine system (LNG-IUS, Mirena®) without evidence of uterine perforation. A 37-year-old Para 4+1presented with 3 months history of lower abdominal pain. Examination and imaging showed that the device was not present in the uterine cavity. She underwent laparoscopic retrieval of Mirena®. There was no evidence of uterine perforation intra-operatively. This case illustrated the rare possibility of dislodged Mirena®intra-abdominally without evidence of uterine perforation. The management for missing IUS was reviewed.