Perforation of levonorgestrel-releasing intrauterine system found at one month after insertion: A case report

Figure 1 X-ray and magnetic resonance imaging of the malpositioned levonorgestrel-releasing intrauterine system. A: X-ray shows that a radiopaque T-shape device is visible in the pelvis; B: The uterus is in the retroflexed position; C: The malpositioned levonorgestrel-releasing intrauterine system (yellow arrow) was seen in axial; D: Sagittal; E: Coronary position.

Figure 2 During the operation, an intact levonorgestrel-releasing intrauterine system with a tail wire was found near the left uterosacral ligament. A: During the operation, the uterus is in the retroflexed position and an intact levonorgestrel-releasing intrauterine system with a tail wire is found near the left uterosacral ligament (A, yellow arrow); B: Without adhesion to the surrounding tissues (B, yellow arrow).