Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity
The levonorgestrel intrauterine system (LNG-IUS) is used by patients for dysmenorrhea, but cases of uterine perforation have been observed. This patient underwent replacement 5 years after the initial LNG-IUS insertion, but persistent abdominal pain led to a visit to her previous gynecologist. Trans...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Gynecology and Minimally Invasive Therapy |
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| Online Access: | https://journals.lww.com/10.4103/gmit.GMIT-D-24-00009 |
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| author | Kensuke Ogino Hiroe Ito Koji Fujimori Junko Nakagawa Keiichi Isaka Yasufumi Oishi |
| author_facet | Kensuke Ogino Hiroe Ito Koji Fujimori Junko Nakagawa Keiichi Isaka Yasufumi Oishi |
| author_sort | Kensuke Ogino |
| collection | DOAJ |
| description | The levonorgestrel intrauterine system (LNG-IUS) is used by patients for dysmenorrhea, but cases of uterine perforation have been observed. This patient underwent replacement 5 years after the initial LNG-IUS insertion, but persistent abdominal pain led to a visit to her previous gynecologist. Transvaginal ultrasonography and magnetic resonance imaging (MRI) at the time of the visit did not detect LNG-IUS. A subsequent computed tomography (CT) scan clearly showed the entire T-shape of the LNG-IUS on the sagittal plane and revealed the presence of the LNG-IUS in the abdominal cavity. Laparoscopic observation revealed that the adhesion of the LNG-IUS was mild, and it could be removed without damaging other organs. The patient was discharged without problems on the third postoperative day. LNG-IUS extraction via ultrasonography and MRI is considered challenging due to its material characteristics. We report a case of intrabdominal LNG-IUS migration where CT and X-ray proved useful in the localization of LNG-IUS. |
| format | Article |
| id | doaj-art-81cc2ada56d84f498e35bb28fc2f4500 |
| institution | OA Journals |
| issn | 2213-3070 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj-art-81cc2ada56d84f498e35bb28fc2f45002025-08-20T02:02:10ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702025-04-0114217417710.4103/gmit.GMIT-D-24-00009Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal CavityKensuke OginoHiroe ItoKoji FujimoriJunko NakagawaKeiichi IsakaYasufumi OishiThe levonorgestrel intrauterine system (LNG-IUS) is used by patients for dysmenorrhea, but cases of uterine perforation have been observed. This patient underwent replacement 5 years after the initial LNG-IUS insertion, but persistent abdominal pain led to a visit to her previous gynecologist. Transvaginal ultrasonography and magnetic resonance imaging (MRI) at the time of the visit did not detect LNG-IUS. A subsequent computed tomography (CT) scan clearly showed the entire T-shape of the LNG-IUS on the sagittal plane and revealed the presence of the LNG-IUS in the abdominal cavity. Laparoscopic observation revealed that the adhesion of the LNG-IUS was mild, and it could be removed without damaging other organs. The patient was discharged without problems on the third postoperative day. LNG-IUS extraction via ultrasonography and MRI is considered challenging due to its material characteristics. We report a case of intrabdominal LNG-IUS migration where CT and X-ray proved useful in the localization of LNG-IUS.https://journals.lww.com/10.4103/gmit.GMIT-D-24-00009computed tomographylaparoscopic surgerylevonorgestrel-releasing intrauterine systemmagnetic resonance imaginguterine perforation |
| spellingShingle | Kensuke Ogino Hiroe Ito Koji Fujimori Junko Nakagawa Keiichi Isaka Yasufumi Oishi Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity Gynecology and Minimally Invasive Therapy computed tomography laparoscopic surgery levonorgestrel-releasing intrauterine system magnetic resonance imaging uterine perforation |
| title | Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity |
| title_full | Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity |
| title_fullStr | Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity |
| title_full_unstemmed | Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity |
| title_short | Ineffective Pelvic Magnetic Resonance Imaging for the Detection of a Levonorgestrel-releasing Intrauterine System Straying into the Abdominal Cavity |
| title_sort | ineffective pelvic magnetic resonance imaging for the detection of a levonorgestrel releasing intrauterine system straying into the abdominal cavity |
| topic | computed tomography laparoscopic surgery levonorgestrel-releasing intrauterine system magnetic resonance imaging uterine perforation |
| url | https://journals.lww.com/10.4103/gmit.GMIT-D-24-00009 |
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