Computed tomography-assisted laparoscopic removal of intraabdominally migrated levonorgestrel-releasing intrauterine systems
Autor: | Zaher Merhi, Mohamad S. Mahmoud |
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Rok vydání: | 2009 |
Předmět: |
Adult
endocrine system medicine.medical_specialty Adolescent Computed tomography Abdominal cavity Intrauterine device Foreign-Body Migration IUD Migration Humans Medicine Levonorgestrel Laparoscopy medicine.diagnostic_test business.industry Ultrasound Intrauterine Devices Medicated Obstetrics and Gynecology General Medicine Endoscopy Surgery medicine.anatomical_structure Female Radiology Tomography X-Ray Computed business medicine.drug |
Zdroj: | Archives of Gynecology and Obstetrics. 281:627-630 |
ISSN: | 1432-0711 0932-0067 |
DOI: | 10.1007/s00404-009-1149-2 |
Popis: | To report three cases of migrated levonorgestrel intrauterine device (LNG-IUS) into the pelvic/abdominal cavity removed laparoscopically with the aid of preoperative computed tomography (CT) scan imaging. Three patients presenting with a missing LNG-IUS on examination and pelvic ultrasound are presented. A preoperative CT scan was performed, what helped in a successful removal of the LNG-IUS. The patients were discharged home the same day of the procedure. Our cases reinforce, besides the diagnosis of a migrated LNG-IUS by ultrasound, the fact that preoperative CT scan imaging assists in the diagnosis of the precise location of a migrated LNG-IUS into the pelvic/abdominal cavity and helps the physician in the prediction of the difficulty of the laparoscopic removal. |
Databáze: | OpenAIRE |
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