The lost intrauterine levonorgestrel-releasing system in women with adenomyosis: A case report

Eka Rusdianto Gunardi, Arresta Vitasatria Suastika, Mitari Nuzullita, Nur Fitri Fadila, Gita Puspita Anjani, Trifonia Pingkan
SAGE open medical case reports · 2022 · vol. 10 , pp. 2050313X221135725 · doi:10.1177/2050313x221135725 · PMID:36478966 · W4311022545
article OA: gold CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the successful removal of a displaced levonorgestrel-releasing intrauterine system in a 41-year-old woman experiencing pelvic pain, which was initially undetectable by ultrasound.

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Abstract

The intrauterine device (IUD) is one type of long-acting reversible contraception (LARC) method available. The objective of this article was to report the case of a symptomatic partial expulsion of IUD. A 41-year-old woman presented herself to Dr. Cipto Mangunkusumo National General Hospital with the chief complaint of pelvic pain. She had been using intrauterine levonorgestrel-releasing system for the last 4 years as her adenomyosis treatment. On ultrasound examination, there was no IUD visualized. A pelvic x-ray imaging with Copper-T IUD as a marker was done and suspected IUD displacement. The IUD was then removed successfully.

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adenomyosis

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License: CC0 · commercial use OK