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Term pregnancy with LNG-IUS embedded in the rectal mucosa

This report discusses a case in which a 21-year-old pregnant woman had a levonorgestrel intrauterine system (LNG-IUS) located in the Pouch of Douglas. Vaginal removal of the LNG-IUS was not possible and the subsequent delivery was uneventful. Five months after birth the LNG-IUS was removed laparoscopically after careful adhesiolysis with cutting diathermy and hydro-dissection.