# A Levonorgestrel-Releasing Intrauterine Device in the Right Upper Quadrant: A Case Report

## 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.

## Key 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.