Abstract
The LNG–IUS has gained great popularity for treatment of menorrhagia and as a good contraceptive agent. It has a low side effect profile; however, perforation of the uterus and migration of the device is a potentially serious complication known to be associated with its use.It is generally agreed that coil migration follows uterine perforation, but the exact moment of the perforation is controversial. The current accepted management is removal of the device from the abdominal cavity in order to prevent further morbidity.Hereby, we present a case of migration of LNG-IUS, 3 weeks after insertion. The LNG-IUS was embedded in the omentum in the right lumbar region was removed laproscopically without any complications.We recommend that a post-procedural trans-vaginal scan should be performed for all difficult insertions or if there was any doubt of perforation during the time of coil insertion.
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