Infected myometrial hematoma due to malpositioned levonorgestrel intrauterine device: A case report

Jessica Crowe; Rebecca Cohen

doi:10.1016/j.contraception.2022.06.004

Infected myometrial hematoma due to malpositioned levonorgestrel intrauterine device: A case report

Contraception. 2022 Oct:114:85-88. doi: 10.1016/j.contraception.2022.06.004. Epub 2022 Jun 19.

Authors

Jessica Crowe¹, Rebecca Cohen²

Affiliations

¹ Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, Aurora, CO, United States.
² Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, Aurora, CO, United States. Electronic address: Rebecca.h.cohen@cuanschutz.edu.

PMID: 35732229
DOI: 10.1016/j.contraception.2022.06.004

Abstract

This case report highlights serious permanent sequelae of a malpositioned levonorgestrel intrauterine device. Initial cervical injury resulted in fistula formation and large hematoma eventually requiring hysterectomy. Uterine depth less than 5.5 cm should prompt timely evaluation, and immediate replacement is not advised when there is concern for injury.

Keywords: Case report; Intrauterine device; Long-acting reversible contraception; Malpositioned intrauterine device.

Publication types

Case Reports

MeSH terms

Contraceptive Agents, Female* / adverse effects
Female
Hematoma / chemically induced
Humans
Intrauterine Devices*
Intrauterine Devices, Medicated* / adverse effects
Levonorgestrel / adverse effects
Uterus

Substances

Contraceptive Agents, Female
Levonorgestrel