engleski

Uterine preforation with levonorgestrel-releasing intrauterine system:casereport.

Uterine perforation related to the insertion of levonorgestrel-releasing intrauterine system (LNG – IUS) is a rare but potentially serious complication. There are no specific diagnostic guidelines for diagnosis and management of uterine perforation with LNG-IUS. We present a case of 38-year-old patient admitted to the Clinic for Women’s Diseases complaining of lower abdominal pain eight days following the insertion of LNG-IUS that reported to be painless and uneventful. The pelvic examination performed on arrival confirmed non-visualization of the LNG-IUS strings. Transvaginal ultrasound that was performed failed to identify the LNG- IUS device inside the uterine cavity, whereas transabdominal ultrasound (TAUS) was suggestive of LNG-IUS located inside the abdominal cavity. Laboratory findings were unremarkable. Abdominal X-ray study was obtained, and it confirmed the diagnosis of intra-abdominal location of LNG-IUS. Laparoscopy was performed ; the LNG-IUS was found and easily removed from the right part of the posterior cul-de-sac.

levonorgestrel-releasing intrauterine system; uterine perforation

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