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Arch. Gynecol. Obstet. · Apr 2010
Case ReportsComputed tomography-assisted laparoscopic removal of intraabdominally migrated levonorgestrel-releasing intrauterine systems.
- Mohamad S Mahmoud and Zaher O Merhi.
- Department of Obstetrics and Gynecology, University of Illinois at Rockford, Rockford, IL, USA.
- Arch. Gynecol. Obstet. 2010 Apr 1;281(4):627-30.
PurposeTo report three cases of migrated levonorgestrel intrauterine device (LNG-IUS) into the pelvic/abdominal cavity removed laparoscopically with the aid of preoperative computed tomography (CT) scan imaging.Methods And ResultsThree patients presenting with a missing LNG-IUS on examination and pelvic ultrasound are presented. A preoperative CT scan was performed, what helped in a successful removal of the LNG-IUS. The patients were discharged home the same day of the procedure.ConclusionOur cases reinforce, besides the diagnosis of a migrated LNG-IUS by ultrasound, the fact that preoperative CT scan imaging assists in the diagnosis of the precise location of a migrated LNG-IUS into the pelvic/abdominal cavity and helps the physician in the prediction of the difficulty of the laparoscopic removal.
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