An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD)
Intrauterine devices (IUDs) are very common as a method of birth control. By adding progesterone (levonorgestrel), a decrease in the risk of complications has been documented, including the risk of perforation. Even though only a few complications have been described, adjacent organs may be involved...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/9/2227 |
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| author | Melinda-Ildiko Mitranovici Diana Maria Chiorean Adrian-Horațiu Sabău Iuliu-Gabriel Cocuz Andreea Cătălina Tinca Mihaela Cornelia Mărginean Maria Cătălina Popelea Traian Irimia Raluca Moraru Claudiu Mărginean Marius Lucian Craina Izabella Petre Elena Silvia Bernad Ion Petre Ovidiu Simion Cotoi |
| author_facet | Melinda-Ildiko Mitranovici Diana Maria Chiorean Adrian-Horațiu Sabău Iuliu-Gabriel Cocuz Andreea Cătălina Tinca Mihaela Cornelia Mărginean Maria Cătălina Popelea Traian Irimia Raluca Moraru Claudiu Mărginean Marius Lucian Craina Izabella Petre Elena Silvia Bernad Ion Petre Ovidiu Simion Cotoi |
| author_sort | Melinda-Ildiko Mitranovici |
| collection | DOAJ |
| description | Intrauterine devices (IUDs) are very common as a method of birth control. By adding progesterone (levonorgestrel), a decrease in the risk of complications has been documented, including the risk of perforation. Even though only a few complications have been described, adjacent organs may be involved in the case of migration—a life-threatening situation. A 45-year-old G4P2 woman was seen in our clinic for LNg-IUD removal, according to the medical instructions. Her main complaints were abdominal discomfort, low back pain, and recurrent menorrhagia. A “lost” IUD was initially suspected; the patient confirmed the detection and removal of the control strings, and a subsequent discussion related to delayed transmural migration of the IUD being followed. The ultrasonography revealed the migration of the IUD to the uterine cervix and size-decreased uterine fibroids, confirming the effectiveness of the LNg-IUD. The MRI and ultrasonography being useless, a subsequent X-ray and CT scan were requested, both confirming a myometrium-positioned IUD, adjacent to the serosa and lumbosacral plexus. Even though the IUD is considered a safe device with reversible effect, it can be associated with severe morbidity, with an ultrasound follow-up being required. For more precise detection of the IUD, we strongly recommend an X-ray or CT scan examination, followed by safe removal. |
| first_indexed | 2024-03-10T00:16:25Z |
| format | Article |
| id | doaj.art-e5b904fe62dc4b53a023cdb6c5e94ac4 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T00:16:25Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-e5b904fe62dc4b53a023cdb6c5e94ac42023-11-23T15:50:48ZengMDPI AGDiagnostics2075-44182022-09-01129222710.3390/diagnostics12092227An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD)Melinda-Ildiko Mitranovici0Diana Maria Chiorean1Adrian-Horațiu Sabău2Iuliu-Gabriel Cocuz3Andreea Cătălina Tinca4Mihaela Cornelia Mărginean5Maria Cătălina Popelea6Traian Irimia7Raluca Moraru8Claudiu Mărginean9Marius Lucian Craina10Izabella Petre11Elena Silvia Bernad12Ion Petre13Ovidiu Simion Cotoi14Department of Obstetrics and Gynecology, Emergency County Hospital Hunedoara, 14 Victoriei Street, 331057 Hunedoara, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaSchool of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, RomaniaFaculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, RomaniaDepartment of Obstetrics and Gynecology, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Sq, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Sq, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Sq, 300041 Timisoara, RomaniaDepartment of Medical Informatics and Biostatistics, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Sq, 300041 Timisoara, RomaniaDepartment of Pathology, County Clinical Hospital of Targu Mures, 540072 Targu Mures, RomaniaIntrauterine devices (IUDs) are very common as a method of birth control. By adding progesterone (levonorgestrel), a decrease in the risk of complications has been documented, including the risk of perforation. Even though only a few complications have been described, adjacent organs may be involved in the case of migration—a life-threatening situation. A 45-year-old G4P2 woman was seen in our clinic for LNg-IUD removal, according to the medical instructions. Her main complaints were abdominal discomfort, low back pain, and recurrent menorrhagia. A “lost” IUD was initially suspected; the patient confirmed the detection and removal of the control strings, and a subsequent discussion related to delayed transmural migration of the IUD being followed. The ultrasonography revealed the migration of the IUD to the uterine cervix and size-decreased uterine fibroids, confirming the effectiveness of the LNg-IUD. The MRI and ultrasonography being useless, a subsequent X-ray and CT scan were requested, both confirming a myometrium-positioned IUD, adjacent to the serosa and lumbosacral plexus. Even though the IUD is considered a safe device with reversible effect, it can be associated with severe morbidity, with an ultrasound follow-up being required. For more precise detection of the IUD, we strongly recommend an X-ray or CT scan examination, followed by safe removal.https://www.mdpi.com/2075-4418/12/9/2227intrauterine contraceptive devicetransmural migrationembedmentperforationCTMRI |
| spellingShingle | Melinda-Ildiko Mitranovici Diana Maria Chiorean Adrian-Horațiu Sabău Iuliu-Gabriel Cocuz Andreea Cătălina Tinca Mihaela Cornelia Mărginean Maria Cătălina Popelea Traian Irimia Raluca Moraru Claudiu Mărginean Marius Lucian Craina Izabella Petre Elena Silvia Bernad Ion Petre Ovidiu Simion Cotoi An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) Diagnostics intrauterine contraceptive device transmural migration embedment perforation CT MRI |
| title | An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) |
| title_full | An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) |
| title_fullStr | An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) |
| title_full_unstemmed | An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) |
| title_short | An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD) |
| title_sort | interesting image of transmural migration of a levonorgestrel releasing intrauterine device lng iud |
| topic | intrauterine contraceptive device transmural migration embedment perforation CT MRI |
| url | https://www.mdpi.com/2075-4418/12/9/2227 |
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