A 40 year old patient presented to her new gynecologist 5 years after insertion of a levonorgestrel intrauterine device (IUD) in order to have it replaced with a new one.
Her gynecologist failed to find the previous IUD and suggested that the patient might have “lost it at the toilet”. He then went on and inserted a new levonorgestrel IUD of the same type.
The patient insisted for more examinations, since she was not convinced that the old IUD simply disappeared. This led eventually to an x-ray of the abdomen which clearly showed two IUDs; one intrauterine and one intraabdominal.
The patient came to us for removal. In our work-up we asked for a preoperative low-dose abdomen CT, which verified intraperitoneal lie of the IUD and excluded bowel involvement.
Interestingly, the patient had experienced the desired amenorrhea for almost 5 years, despite the fact that the IUD was lying inside the greater omentum and not inside the uterus.
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