Presentation
Sudden onset LIF pain. Two days post Mirena IUD insertion.
Patient Data
Age: 25 years
Gender: Female
From the case:
Extrauterine migration of Mirena IUD
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Uterus is anteverted. Endometrium measures 3 mm. Mirena not visible within the endometrial cavity.
Ovaries are normal.
The Mirena is located in the left adnexa between the uterus and the left ovary with the stem oriented inferiorly (see 3D Reconstructions). No free fluid.
Impression
Extrauterine Mirena IUD positioned in the left adnexa. Gynecological opinion recommended.
Case Discussion
The patient underwent laparoscopy which confirmed the Mirena had perforated through the uterine wall. The strings were still in the uterus. The Mirena was removed and the small uterine perforation diathermed. A new Mirena was inserted uneventfully.
The patient recovered well.
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