Abstract

Long acting reversible contraceptive (LARC) devices such as the levonorgestrel intrauterine system (LNG-IUS) have increased in use. Care should be taken with insertion and removal of the device as, although rare, serious complications can occur. We present a case of retroperitoneal hematoma following hysteroscopic removal of LNG-IUS.

Highlights

  • Devices such as the levonorgestrel intrauterine system (LNG-IUS) have increased in use

  • A 21-year-old G1P1 healthy female with no medical problems or surgical history presented to her local gynecologist for removal/replacement of levonorgestrel intrauterine system (LNG-IUS) for contraceptive purposes

  • The patient was taken to the operating room for hysteroscopic removal of the IUS

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Summary

Introduction

Devices such as the levonorgestrel intrauterine system (LNG-IUS) have increased in use. A 21-year-old G1P1 healthy female with no medical problems or surgical history presented to her local gynecologist for removal/replacement of levonorgestrel intrauterine system (LNG-IUS) for contraceptive purposes. The physician was unable to visualize IUS strings. The patient was taken to the operating room for hysteroscopic removal of the IUS.

Results
Conclusion
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