Open AccessImportance of abdominal X-ray to confirm the position of levonorgestrel-releasing intrauterine system: A case report
Author(s) -
Aki Maebayashi,
Kanoko Kato,
Nobuki Hayashi,
Masaji Nagaishi,
Kei Kawana
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i15.4904
Subject(s) - medicine , levonorgestrel , myometrium , uterine perforation , intrauterine device , uterus , perforation , surgery , population , family planning , research methodology , materials science , environmental health , punching , metallurgy
Levonorgestrel-releasing intrauterine systems (LNG-IUSs) gradually release levonorgestrel into the uterus and is effective against hypermenorrhoea and dysmenorrhea. Complications associated with the insertion include expulsion, displacement, and uterine perforation. Ultrasonic identification of copper intrauterine devices (IUDs) is possible due to echogenicity from the copper coils. However, the barium sulfate coatings of LNG-IUSs do not always provide hyperechoic images. Both barium sulfate and copper are radiopaque and clearly identifiable on X-ray. Thus, X-ray imaging is required to locate LNG-IUSs.