We report a case of dislodged Levornogestrel-intrauterine system (LNG-IUS, Mirena®) without evidence of uterine
perforation. A 37-year-old Para 4+1presented with 3 months history of lower abdominal pain. Examination and
imaging showed that the device was not present in the uterine cavity. She underwent laparoscopic retrieval of
Mirena®. There was no evidence of uterine perforation intra-operatively. This case illustrated the rare possibility of
dislodged Mirena®intra-abdominally without evidence of uterine perforation. The management for missing IUS was
reviewed.
Levonorgestrel
Result Analysis
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