Migration of a Levonorgestrel - Releasing Intrauterine Device (Lng-Iud): Can We Trust on Ultrasound Image?

We report the case of a nulliparous 33-year-old woman who had a uneventful insertion of levonorgestrel-releasing intrauterine device (LNG-IUD; Mirena, Schering, Brazil) inserted on august/2005. She was amenorrheic from august 2005 to may 2006, when she referred the beginning of an intermittent spott...

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Detalles Bibliográficos
Autores: Corleta, Helena von Eye, da Silva, Ana Luiza Berwanger, Lago, Suzana Cardona, Capp, Edison
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Clinical and Biomedical Research
Idioma:portugués
OAI Identifier:oai:seer.ufrgs.br:article/10775
Acceso en línea:https://seer.ufrgs.br/index.php/hcpa/article/view/10775
Access Level:acceso abierto
Palabra clave:intrauterine device
mislocated IUD
complication
levonorgestrel
Dispositivos Intra-Uterinos
ecografia
Descripción
Sumario:We report the case of a nulliparous 33-year-old woman who had a uneventful insertion of levonorgestrel-releasing intrauterine device (LNG-IUD; Mirena, Schering, Brazil) inserted on august/2005. She was amenorrheic from august 2005 to may 2006, when she referred the beginning of an intermittent spotting. On september/2006, she had a normal transvaginal ultrasound, showing a well-placed device. One year later, she informed the occurrence of regular menstrual cycles, but with menorrhagia. At that time, during the physical examination, the retrieval thread was not visible at the cervix. Another ultrasound was then performed, showing a device outside the uterine cavity, probably in the uterine serosa