Erschienen in:
01.09.2007 | Case Report
Pregnancy in a patient with a displaced levonorgestrel-releasing intrauterine system: a case report
verfasst von:
Helen Budiman, Carolin Kümper, Ioannis Mylonas, Christian J. Thaler, Klaus Friese, Ernst R. Weissenbacher
Erschienen in:
Archives of Gynecology and Obstetrics
|
Ausgabe 3/2007
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Abstract
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.