Ectopic pregnancy in a patient with levonorgestrel-releasing intrauterine device in situ

Abstract

The levonorgestrel-releasing intrauterine device (LNG-IUD, Mirena) is an effective and safe contraceptive method that has many non-contraceptive benefits, such as treatment of menorrhagia and protection from pelvic inflammatory disease. However, dangerous complications, such as ectopic pregnancy, can occur with LNG-IUD use. Although the cumulative pregnancy rate with LNG-IUD is below the non-contraceptive rate, when pregnancy does occur, it is more likely to be an ectopic pregnancy. Early diagnosis and treatment are very important in order to reduce morbidity and mortality. In the case presented herein, a 35-year-old patient with an LNG-IUD in situ underwent laparoscopic salpingectomy after a diagnosis of ampullary ectopic pregnancy.