[Abdominal migration of a levonorgestrel-releasing intrauterine device. Case report and review of the literature].
We report the case of a 27-year-old woman in amenorrhea after the installation of a levonorgestrel releasing intra-uterine device, 3 years previously. In front of pelvic continuing pains, paraclinic explorations diagnosed the DIU-LNG in intra-abdominal situation. An exploratory laparoscopy was realized and allowed its ablation. The authors discuss the systemic distribution of the levonorgestrel and the impact of the DIU-LNG in intra-abdominal situation by a review of the literature.
Pont
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M
Service de chirurgie gynécologique et mammaire, centre hospitalier de Valence, 179, boulevard Maréchal-Juin, 26953 Valence cedex 9, France.
Lantheaume
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D000005:Abdomen; D000328:Adult; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects*; D016912:Levonorgestrel / Q000008:administration & dosage*
D003271:Contraceptive Agents, Female; D016912:Levonorgestrel