Efficacité d’un stérilet au levonorgestrel migré en intra-abdominal. À propos d’un cas et revue de la littérature

Pont, M.; Lantheaume, Sophie

doi:10.1016/j.jgyn.2009.01.005

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…The LNG-IUD has an optimum Pearl Index of 0.2 pregnancy in 100 women over a year of exposure. Although, when not normally positioned, its efficacy is reduced 8 . If pregnancy occurs, it is essential to carefully evaluate its topography once around 50% of pregnancies in the use of LNG-IUD are ectopic 2,9 , as happened in this case.…”

Section: Discussionmentioning

confidence: 99%

Ovary transmigration of a levonorgestrel-releasing intrauterine device and ectopic pregnancy: a case report

Lafraia,

Barbosa,

Zorzanelli

et al. 2023

Hum. Reprod. Arch.

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Introduction: Intrauterine devices (IUD) are safe long-term contraceptive methods frequently used. Though it is a rare event, the uterine perforation and migration of an IUD is possible. Case description: This study is based on a single patient who has been using Levonorgestrel (LNG)-IUD for the last two years without previous complications. A control ultrasound in October/2019 reported a normally placed LNG-IUD. However, in July/2020, she was admitted to our hospital with intermittent pain in the right iliac fossa associated with minor vaginal bleeding for the last 30 days. Her hCG level was 827,3 mUI/mL. The LNG-IUD was not identified in the ultrasound exam, and there was a mass of 5.6 centimeters with a hyperechogenic line in the right adnexa. In surgery, we found a right tubal ectopic pregnancy, and the LNG-IUD was located within the right ovary parenchyma, confirmed by pathological examination. We performed a right salpingo-oophorectomy, and there were no procedure complications. The patient presented good clinical evolution, receiving discharge the next day. Discussion: The spontaneous IUD migration can affect any adjacent structures, but the exact pathophysiology is unknown. Although uterine perforation and migration are rare complications, the medical team should discuss their possibility with the patient before IUD insertion. Moreover, professionals should be aware of this possibility and diagnose it rapidly to avoid further complications. With this case report we intend to review similar cases described previously and discuss the best options available for management of this complex situation.

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Section: Discussionmentioning

confidence: 99%

Ovary transmigration of a levonorgestrel-releasing intrauterine device and ectopic pregnancy: a case report

Lafraia,

Barbosa,

Zorzanelli

et al. 2023

Hum. Reprod. Arch.

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Intrauterine Contraceptive Device Migrated in the Urinary Tract: Case Report and Extensive Literature Review

Varlas,

Meianu,

Rădoi

et al. 2024

JCM

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The migration or translocation of an intrauterine device (IUD) in the urinary tract is a rare event. Here, we present the case of a 55-year-old woman who accidentally discovered the ectopic presence of an IUD following a radiological examination for pelvic pain caused by a lumbar discopathy. Over the years, the patient had several IUDs inserted without being able to specify which one had migrated. The removal of the IUD was performed laparoscopically with the minimum resection of the bladder wall and the subsequent cystorrhaphy. The evolution of the patient was favorable. To better analyze these events, we conducted an all-time extensive electronic search of the PubMed database and identified 94 eligible articles, with a total of 115 cases. The literature analysis on the IUD migrations shows either the simultaneous existence of the second IUD or of a maximum number of up to two IUD insertions during the life of patients. Thus, in the presented case, we identified five IUD insertions over time, which explained the chronic inflammatory process by forming an important mass of adherents that included the urinary bladder, uterus, omentum, sigmoid colon, and abdominal wall. Therapeutic management must be adapted to each case depending on the intra/extravesical location of the migrated IUD evaluated by imaging.

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Uterine Perforation after Pose of IUD, the Place of Abdomen Radiography without Preparation

Sermé¹,

Coulibaly²,

Somda³

et al. 2017

OJGas

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Uterine perforation is a serious complication after insertion of an intrauterine device (IUD). We report the case of a 34-year-old woman receiving in consultation for abdominal pain. In the interrogation there was a notion of IUD insertion for about a week. The gynecological examination did not find the thread of IUD and the ultrasound performed did not visualize an IUD. Radiography of the abdomen without preparation highlighted a compatible intrapelvic foreign thing like an IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an IUD was thus retained. We suggest in case of suspicion of uterine radio paque IUD perforation achieving radiography when the abdominal pelvic ultrasound is normal.

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Efficacité d’un stérilet au levonorgestrel migré en intra-abdominal. À propos d’un cas et revue de la littérature

Cited by 4 publications

References 6 publications

Ovary transmigration of a levonorgestrel-releasing intrauterine device and ectopic pregnancy: a case report

Ovary transmigration of a levonorgestrel-releasing intrauterine device and ectopic pregnancy: a case report

Intrauterine Contraceptive Device Migrated in the Urinary Tract: Case Report and Extensive Literature Review

Uterine Perforation after Pose of IUD, the Place of Abdomen Radiography without Preparation

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