Incidental discovery of two levonorgestrel-releasing intrauterine systems misplaced in the peritoneal cavity

Abstract

Radiography is helpful in confirming migration of an intrauterine contraceptive. Removal of the latter is recommended, due to the potential for serious complications.

Considering the risks and benefits of intrauterine devices: should clinician advice now be changed?

“…However, cases have been reported of women with uterine perforation and no complaints [41]. In addition, perforation should be suspected if the HCP who performed the insertion was in training, if the insertion was difficult, if dilatation of the cervix was required, if cervical stenosis was present, if the woman has a history of cesarean section, if she experienced severe pain at insertion and/or presents with an extremely retroverted or retroflexed uterus [42]. Nevertheless, it is extremely important to follow the manufacturer's instructions to avoid or reduce the risk of perforation [43][44][45].…”

Intrauterine devices and risk of uterine perforation: current perspectives

“…Rarely, a perforation is not detected by ultrasound scanning and a second perforation occurs in the same individual. 86 , 87 …”