ABSTRACT

History A 30-year-old woman had a levonorgestrel-releasing intrauterine system (IUS) inserted by her general practitioner (GP) 3 weeks ago. Ten days ago she presented to the emergency department with abdominal pain, and on examination the threads were not visible and ultrasound scan suggested the IUS was misplaced in the right uterine cornu. An appointment was made for hysteroscopic resection but she has presented again in the interim with further pain.