Cornual pregnancy as a complicaton of the use of a levonorgestrel intrauterine device: a case report
نویسندگان
چکیده
INTRODUCTION Complications of copper load intrauterine devices, including ectopic pregnancies are well reported. Rates of ectopic pregnancy are 0.6 to 1.1% per year. However, the levonorgestrel intrauterine device has been described as more protective against ectopic pregnancies due to the addition of the hormone levonorgestrel. The hormone released from the intrauterine device causes some systemic effects, but local effects such as glandular atrophy and stromal decidualization, in addition to foreign body reaction, are dominant. Few case reports have described ampullary ectopic pregnancies. However, we report, for the first time, a major complication of levonorgestrel intrauterine device: a cornual pregnancy. CASE PRESENTATION A 36-year-old Caucasian nulliparous woman presented with complaints of progressive nausea, abdominal pain and irregular vaginal bleeding for 2 months. For 3 years, she had been using a levonorgestrel intrauterine device. A two-dimensional transvaginal sonogram noted a sac situated external to the endometrial cavity in the right cornua of the uterus with an empty uterus. She was successfully treated with chemotherapy. CONCLUSION Many complications have been described, including ectopic pregnancies, using copper intrauterine devices. The levonorgestrel-releasing intrauterine system is a particularly good choice for adolescents because of associated non-contraceptive benefits such as decreased menstrual bleeding, dysmenorrhea and pain associated with endometriosis [1]. Yet a cornual pregnancy following the use of a levonorgestrel intrauterine device is a complication which, to our knowledge, has not been described before. Physicians prescribing this type of intrauterine device should be aware of this rare event.
منابع مشابه
Inadvertent use of a levonorgestrel-releasing intrauterine device as postcoital contraception.
The intrauterine device (IUD) is an effective means of contraception,1,2 and insertion is a procedure that is commonly performed in a family physician’s office. Standard practice requires that a current pregnancy be excluded before insertion; on-site urine testing is the most obvious way to do this. This case describes an instance of inadvertent insertion of an IUD in a woman who was already pr...
متن کاملCornual heterotopic pregnancy: a case report
INTRODUCTION Cornual heterotopic pregnancy is a very rare condition; its incidence remains unknown. We report a case of cornual heterotopic pregnancy managed by laparoscopy and guided methotrexate injection into the cornual sac. CASE PRESENTATION A cornual heterotopic pregnancy was diagnosed at 9 weeks of amenorrhoea in a 31-year-old healthy woman. Ultrasound examination showed a well-formed ...
متن کاملCase of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy.
OBJECTIVE To report on a case of heterotopic triplet pregnancy after in utero transfer of three embryos obtained by in vitro fertilization (IVF), with progression of the intrauterine twin pregnancy after resection of the cornual pregnancy. DESIGN Technique and instrumentation. SETTING Département de Médecine de la Reproduction, Hôpital Edouard Herriot, Lyon, France. PATIENTS A 32-year-old...
متن کاملIntrauterine Fetal Death (IUFD) in Extra Uterus and Subsequent Pregnancy in Main Uterus: A Case Report
Abortion in an attached rndimentary uterine horn, followed by a normal intrauterine pregnancy. Pregnancy in an rudimentary uterus has been occured in many forms, and up to now about 350 cases have been reported in medical journals. Most of these malformations accompanied with other malformations in urinary tract. A case of pregnancy and abortion in an attached rudimentary uterine horn is ...
متن کاملLack of association between CU T-380A intrauterine device and secondary infertility in Iran
Objective The appropriate choice of a contraceptive method has been a major issue in reproductive health research. Cu T intrauterine device (Cu T IUD) has been introduced as one of the most effective contraceptive methods in the world, however, the relationship between prior use of Cu T IUD and secondary infertility has not been evaluated in Iran. To examine the association of Cu T-380A IUD and...
متن کامل