Article Text

PDF
Incomplete removal of an intrauterine system
  1. Zhenying Zhu, MD
  1. Xiaoying Yao, MD
  1. Department of Family Planning, Obstetrics & Gynaecology, Hospital of Fudan University, Shanghai, China; 13564613967@163.com
  2. Department of Family Planning, Obstetrics & Gynaecology, Hospital of Fudan University, Shanghai, China; r.jiang@hotmail.com

Statistics from Altmetric.com

A 38-year-old woman, gravida 4 para 1, had a levonorgestrel intrauterine system (LNG IUS) inserted just after a third induced abortion. Thirteen months later she insisted on the IUS being removed because of amenorrhea. Ultrasound examination showed that it was normally located. A junior doctor was asked to remove it. On insertion of the speculum, the threads were clearly visible. The threads were gently pulled and the device was removed easily. The doctor thought it was intact. However, the patient still suffered from amenorrhea. Ultrasound examination appeared normal, so hysteroscopy was arranged.

At hysteroscopy, moderate intrauterine adhesions were found. After hysteroscopic electrosurgery to divide the adhesions, the retained outer sleeve of the IUS was seen with fibrous tissue wrapped over its surface. It was grasped with forceps via the hysteroscope …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.