Steroid reservoir loss during removal of perforated Levonorgestrel 52 mg intrauterine device

Allan C Dong; Amanda J Bush

doi:10.1016/j.contraception.2018.10.010

Steroid reservoir loss during removal of perforated Levonorgestrel 52 mg intrauterine device

Contraception. 2019 Mar;99(3):192-193. doi: 10.1016/j.contraception.2018.10.010. Epub 2018 Nov 22.

Authors

Allan C Dong¹, Amanda J Bush²

Affiliations

¹ University of Illinois College of Medicine at Rockford, Rockford, IL 61107; Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Chicago, Chicago, IL 60612, USA. Electronic address: dong17@uic.edu.
² Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USA.

PMID: 30471262
DOI: 10.1016/j.contraception.2018.10.010

Abstract

A 22-year-old G1P1 Caucasian female had hysteroscopic removal of a perforated intrauterine device during which the steroid reservoir of the intrauterine device was lost. Isolated steroid reservoirs are radiolucent on plain film radiography. We located the reservoir in the peritoneal cavity with magnetic resonance imaging and removed it via laparoscopy.

Keywords: Embedment; IUD; Perforation; Reservoir; Retained; Steroid.

Publication types

Case Reports

MeSH terms

Device Removal
Female
Foreign-Body Migration / diagnostic imaging*
Foreign-Body Migration / surgery*
Humans
Hysteroscopy
Intrauterine Devices / adverse effects*
Laparoscopy
Levonorgestrel
Magnetic Resonance Imaging
Peritoneal Cavity / diagnostic imaging
Peritoneal Cavity / pathology
Peritoneal Cavity / surgery*
Uterine Perforation / etiology*
Uterine Perforation / surgery
Young Adult

Substances

Levonorgestrel