Document Detail


Pregnancy in a patient with a displaced levonorgestrel-releasing intrauterine system: a case report.
MedLine Citation:
PMID:  17356827     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 39-year-old woman who became pregnant despite a levonorgestrel-releasing intrauterine system (LNG-IUS), which was inserted 40 months before the pregnancy was detected. When a Caesarean section was performed, the LNG-IUS was found within the omentum majus. It has been reported, that displaced LNG-IUS can cause amenorrhea and high plasma levels of LNG in affected women, probably due to the higher resorptive capacity of the peritoneum, recommending a removal of the displaced LNG-IUS. Our case report demonstrates that a dislocated LNG-IUS does not necessary has the ability to suppress ovulation and therefore pregnancy. Therefore, every gynaecologist should be aware of a pregnancy despite a dislocated LNG-IUS.
Authors:
Helen Budiman; Carolin Kümper; Ioannis Mylonas; Christian J Thaler; Klaus Friese; Ernst R Weissenbacher
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-14
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  276     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-07-26     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  263-4     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Grosshadern, Marchioninistrasse 15, 81377, Munich, Germany. Helen.Budiman@med.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Contraceptive Agents, Female
Female
Foreign-Body Migration*
Humans
Incidental Findings
Infant, Newborn
Intrauterine Devices, Medicated*
Levonorgestrel*
Omentum
Pregnancy
Pregnancy Outcome
Pregnancy, Unplanned*
Chemical
Reg. No./Substance:
0/Contraceptive Agents, Female; 797-63-7/Levonorgestrel

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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