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2018 ; 12
(1
): 111
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English Wikipedia
Occurrence of anembryonic pregnancy with use of levonorgestrel subdermal implant
(JADELLEŽ): a case report
#MMPMID29704897
Moutchia-Suh J
; Mouemba DM
; Ngwasiri CA
J Med Case Rep
2018[Apr]; 12
(1
): 111
PMID29704897
show ga
BACKGROUND: Progestin-only subdermal implants are one of the most effective
contraceptive methods. Anembryonic pregnancy is not reported as a possible
outcome in cases of contraceptive failure of these products. We present a rare
case of anembryonic pregnancy occurring in a woman with levonorgestrel-releasing
implant (JADELLEŽ). CASE PRESENTATION: A 31-year-old Cameroonian (black African)
housewife with a JADELLEŽ implant for 13 months, consulted at our hospital for a
1-month history of pelvic pain, prolonged menstrual bleeding, and spotting. She
had a last normal menstrual period 8 weeks 1 day prior to presentation. On
examination, there was suprapubic tenderness and blood trickling from her cervix.
Despite a negative qualitative urine pregnancy test, an empty intrauterine
gestational sac with mean sac diameter of 28 mm was visualized on pelvic
ultrasound. Dilation and curettage with suction was done and she had complete
relief from symptoms. CONCLUSION: This case report highlights the possibility of
anembryonic pregnancy occurring in women using the levonorgestrel-releasing
subdermal implant (JADELLEŽ).