Abstract
BackgroundThe presence of the levonorgestrel-releasing intrauterine system embedded within an ectopic pregnancy is a rare occurrence. Tubal migration of an intrauterine device is not well understood and has not been extensively studied in literature.Case presentationA 34-year-old African woman, para 1, gravida 2, presented with symptoms of ruptured ectopic pregnancy. She underwent a laparoscopy where a ruptured left ectopic pregnancy was found with a levonorgestrel-releasing intrauterine system inserted 2 years prior embedded within the tube. A left salpingectomy was performed with removal of the levonorgestrel-releasing intrauterine system. The patient recovered well and proceeded to have an intrauterine pregnancy 3 months later.ConclusionMigration of the levonorgestrel-releasing intrauterine system into the fallopian tube is a rare occurrence that is not well understood. In the case presented, levonorgestrel-releasing intrauterine system was found embedded within the fimbrial end of the left fallopian tube, which had a ruptured ectopic pregnancy. Surgical treatment with laparoscopy is recommended for intraabdominal intrauterine device to prevent complications.
Highlights
The presence of the levonorgestrel-releasing intrauterine system embedded within an ectopic pregnancy is a rare occurrence
Levonorgestrel-releasing intrauterine system was found embedded within the fimbrial end of the left fallopian tube, which had a ruptured ectopic pregnancy
We describe a case of a patient who presented with ruptured ectopic pregnancy and was found to have a LNG Levonorgestrel intrauterine system (IUS) embedded in the fimbrial end of the affected fallopian tube
Summary
Migration of the LNG IUS into the fallopian tube is a rare occurrence that is not well understood. A LNG IUS was found embedded within the fimbrial end of the fallopian tube that had a ruptured ectopic pregnancy. Surgical treatment with laparoscopy is recommended for intraabdominal IUD to prevent complications. The patient made a good recovery and proceeded to have an intrauterine pregnancy 3 months later, as desired
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