ABSTRACT
The intrauterine device (IUD) is one type of long-acting reversible contraception (LARC) method available. The objective of this article was to report the case of a symptomatic partial expulsion of IUD. A 41-year-old woman presented herself to Dr. Cipto Mangunkusumo National General Hospital with the chief complaint of pelvic pain. She had been using intrauterine levonorgestrel-releasing system for the last 4 years as her adenomyosis treatment. On ultrasound examination, there was no IUD visualized. A pelvic x-ray imaging with Copper-T IUD as a marker was done and suspected IUD displacement. The IUD was then removed successfully.
ABSTRACT
Leiomyomas are benign fibromuscular tumors that arise from smooth muscle cells. Paraurethral leiomyoma accounts for 5% of all paraurethral masses and occurs in 1 in 1000 women. We reported a case of a 43-year-old female presented with a palpable mass at the vaginal introitus with lower urinary tract symptoms. Patient had no pregnancy and sexual history before. A pelvic MRI demonstrated a 1.6 x 1.7 × 2.0 cm mass within the anterior part of the paraurethra. The excision of the mass was done via transvaginal approach and was successful. The final post-operative pathology report was confirmed as leiomyoma.
