A Levonorgestrel-Releasing Intrauterine Device in the Right Upper Quadrant: A Case Report
Joshua M Cohen, Stephanie L Fegale, Tammy Phan, Emmelyn Samones, Paul Savino
TL;DR
A woman presented with abdominal pain, and imaging revealed an IUD misplaced in her right upper abdomen after post-partum insertion.
Contribution
This case highlights an unusual IUD migration to the right upper quadrant, expanding the differential for abdominal pain in women.
Findings
ED imaging showed the IUD in the right upper quadrant instead of the uterus.
Laparoscopy confirmed the IUD was located in the intra-omental space near the hepatic flexure.
Abstract
Abdominal pain is a common emergency department (ED) presentation. Studies suggest that female patients represent a majority of ED patients with abdominal pain. Abdominal pain requires a broad set of differential diagnoses, including gynecologic and obstetric causes. We describe the case of a patient who presented to the ED for right lower quadrant discomfort after the post-partum placement of a levonorgestrel-releasing intrauterine device (IUD). ED imaging revealed an IUD in the right upper quadrant. On laparoscopy, an intra-omental IUD was found near the hepatic flexure.
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Taxonomy
TopicsReproductive Health and Contraception · Maternal and fetal healthcare · Ectopic Pregnancy Diagnosis and Management