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Pregnancy in a patient with a displaced levonorgestrel-releasing intrauterine system: a case report

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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.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Ludwig-Maximilians-University Munich, Campus Grosshadern, Marchioninistrasse 15, 81377, Munich, Germany

    Helen Budiman, Carolin Kümper, Christian J. Thaler, Klaus Friese & Ernst R. Weissenbacher

  2. First Department of Obstetrics and Gynecology, Ludwig-Maximilians-University Munich, Munich, Germany

    Ioannis Mylonas & Klaus Friese

Authors
  1. Helen Budiman
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  2. Carolin Kümper
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  3. Ioannis Mylonas
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  4. Christian J. Thaler
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  5. Klaus Friese
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  6. Ernst R. Weissenbacher
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Correspondence to Helen Budiman.

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Budiman, H., Kümper, C., Mylonas, I. et al. Pregnancy in a patient with a displaced levonorgestrel-releasing intrauterine system: a case report. Arch Gynecol Obstet 276, 263–264 (2007). https://doi.org/10.1007/s00404-006-0315-z

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  • DOI: https://doi.org/10.1007/s00404-006-0315-z

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