Levonorgestrel intrauterine system embedded within tubal ectopic pregnancy: a case report
Obstetrics and Gynaecology (East Africa)
Background: The presence of the levonorgestrel-releasing intrauterine system embedded within an ectopic pregnancy is a rare occurrence. Tubal migration of an intrauterine device is not well understood and has not been extensively studied in literature.
Case presentation: A 34-year-old African woman, para 1, gravida 2, presented with symptoms of ruptured ectopic pregnancy. She underwent a laparoscopy where a ruptured left ectopic pregnancy was found with a levonorgestrel releasing intrauterine system inserted 2 years prior embedded within the tube. A left salpingectomy was performed with removal of the levonorgestrel-releasing intrauterine system. The patient recovered well and proceeded to have an intrauterine pregnancy 3 months later.
Conclusion: Migration of the levonorgestrel-releasing intrauterine system into the fallopian tube is a rare occurrence that is not well understood. In the case presented, levonorgestrel-releasing intrauterine system was found embedded within the fmbrial end of the left fallopian tube, which had a ruptured ectopic pregnancy. Surgical treatment with laparoscopy is recommended for intraabdominal intrauterine device to prevent complications.
Journal of Medical Case Reports
Gichere, I. H.,
(2021). Levonorgestrel intrauterine system embedded within tubal ectopic pregnancy: a case report. Journal of Medical Case Reports, 15(107), 1-6.
Available at: https://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/327
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