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Computed tomography-assisted laparoscopic removal of intraabdominally migrated levonorgestrel-releasing intrauterine
Mohamad S Mahmoud1, Zaher O Merhi
1Department of Obstetrics and Gynecology, University of Illinois at Rockford, Rockford, IL, USA.
Purpose:
To 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 Results:
Three 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.
Conclusion:
Our 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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