Weerawaroon Mavichak
Royal Surrey County Hospital , UKPresentation Title:
Know the anatomy of your intrauterine device: A case of hormonal sleeve displacement resulting in concerns over foreign body loss
Abstract
Intrauterine Devices (IUD) are one of the most commonly used form of long-term reversible contraception and treatment for gynecological conditions such as dysmenorrhea, endometrial hyperplasia, and abnormal uterine bleeding. Whilst IUD has a high safety profile, complications may occur during insertion, usage, and removal. IUD fragmentation is a rare but potential complication, in which patients may subjected to invasive managements. We described a 52 years old female patient who, after having her levonorgestrel IUD removed, was mistakenly believed to have IUD remnants in her uterus. The removed device was found to be bilaterally armless, subjecting her to a hysteroscopy, which showed a normal uterine cavity. In her previous removal the same phenomenon also occurred leading to pelvic x-ray. It was discovered that the device’s hormonal sheath slid both arms up upon removal, most likely due to a narrowed cervical canal, giving the false appearance of an elongated armless device. To our knowledge, there has been no reported literature on this phenomenon apart from being mentioned as a potential occurrence in the UK’s Faculty of Sexual and Reproductive Healthcare Guideline Intrauterine Contraception.
Biography
Weerawaroon Mavichak (MBChB, MRes) is currently a 1st year OBGYN resident doctor in the United Kingdom.
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