Cervical perforation by the strings of a levonorgestrel releasing-intrauterine system: A case report

Abstract

A very rare case of perforation of the uterine cervix by the strings of a levonorgestrel releasing-intrauterine system (LNG-IUS) in a 47-year-old woman is presented. The method to retrieve the strings back into the cervical canal, leaving the LNG-IUS in situ, is described. We suggest that the threads of an intrauterine contraceptive occasionally may penetrate tissue like setons do, when used for treatment of fistulae.

Keywords:

• Intrauterine device
• Levonorgestrel releasing-intrauterine system
• Threads
• Cervical perforation
• Seton

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and the writing of the paper.