Can you identify the specific IUD on the ultrasound? ObGynTwitter
Mirena and Liletta are progestin-releasing intrauterine devices of similar size and shape. On ultrasonography, both the arms and the distal tip are echogenic. The progestin-containing plastic sleeve surrounding the stem in the middle demonstrates a laminated acoustic shadowing with distinctive parallel lines. Transvaginal pelvic ultrasound demonstrates a well-positioned Mirena or Liletta levonorgestrel IUD. Note the laminated appearance of the stem .
Boortz HE, Margolis DJ, Ragavendra N, Patel MK, Kadell BM. Migration of intrauterine devices: Radiologic findings and implications for patient care. Radiographics. 2012;32:335–352.Liletta [package insert]. Parsippany, NJ: Allergan; 2015.Kyleena [package insert]. Whippany, NJ: Bayer; 2000.
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