Journal of

Case Reports and Images in Obstetrics and Gynecology

 
     
Case Report
 
Ectopic pregnancy with levonorgestrel-releasing intrauterine device in situ: A case report
Ana Rita Simões Carvalho1, Alina Seixas1, Andrea Quintas2, Cristina Godinho2, João Gonçalves2
1Resident, Department of Obstetrics and Gynecology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
2Assistant, Department of Obstetrics and Gynecology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Article ID: 100035Z08AC2018
doi: 10.5348/100035Z08AC2018CR

Corresponding Author:
Ana Rita Simões Carvalho,
Rua Francisco Sá Carneiro, Vila Nova de Gaia,
Portugal, 4400-129

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How to cite this article
Carvalho ARS, Seixas A, Quintas A, Godinho C, Gonçalves J. Ectopic pregnancy with levonorgestrel-releasing intrauterine device in situ: A case report. J Case Rep Images Obstet Gynecol 2018;4:100035Z08AC2018.


ABSTRACT

Introduction: Ectopic pregnancy in the presence of an intrauterine device is a rare phenomenon. When compared with copper device, the levonorgestrel intrauterine system appears to be more protective against ectopic pregnancies. Few case reports have described ectopic pregnancies.

Case Report: A 39-year-old woman with a levonorgestrel-releasing intrauterine device presented at our emergency room complaining of persistent lower abdominal pain and scarce vaginal bleeding. Pelvic ultrasound revealed the intrauterine device properly positioned inside the uterine cavity and the presence of an anexial mass, raising the suspicion of ectopic pregnancy, later confirmed with beta-HCG blood level. She was successfully treated with laparoscopic salpingectomy.

Conclusion: An ectopic pregnancy with an in-situ levonorgestrel intrauterine device is a rare occurrence. Early diagnosis is of paramount importance in order to prevent its potential catastrophic consequences. Physicians prescribing this type of intrauterine device should be aware of the possibility of this rare event, as the symptoms produced by a tubal gestation may easily be mistaken for side effects due to the intrauterine device.

Keywords: Contraception, Ectopic pregnancy, Intrauterine Device, Levonorgestrel


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Author Contributions
Ana Rita Simões Carvalho – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alina Seixas – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Andrea Quintas – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Cristina Godinho – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
João Gonçalves – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this study.
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Ana Rita Simões Carvalho et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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