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Uterine Perforation by Levonorgestrel-Releasing Intrauterine Device: A Case Report
1Gynaecology Department, Braemar Hospital, Hamilton, NZL.
Cureus
|December 16, 2022
Summary
Uterine perforation is a rare complication of the levonorgestrel-releasing intrauterine device (LNG-IUD). This case highlights the importance of prompt diagnosis and laparoscopic management for this rare event.
Area of Science:
- Gynecology
- Reproductive Health
- Surgical Case Reports
Background:
- Intrauterine devices (IUDs) are a leading reversible contraception method globally, used by approximately 160 million women.
- While generally safe and effective, IUDs carry a risk of rare complications, including uterine perforation.
- Levonorgestrel-releasing intrauterine devices (LNG-IUDs) are widely used for contraception.
Observation:
- A case of uterine perforation caused by a levonorgestrel-releasing intrauterine device (LNG-IUD) is presented.
- The specific device involved was a Mirena LNG-IUD (levonorgestrel 52 mg).
Findings:
- Uterine perforation is a rare but significant complication associated with IUD use.
- Laparoscopic surgery is an effective management approach for IUD-related uterine perforations.
Implications:
- Increased awareness of uterine perforation as a potential complication of LNG-IUDs is crucial for timely diagnosis.
- Laparoscopic management offers a minimally invasive option for addressing this rare gynecological issue.
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