A Case of Severe Anemia Caused by Massive Hemorrhage during the Treatment of Adenomyosis with LNG-IUS Fixation

doi:10.12280/gjfckx.20250063

Abstract

Abstract:

The levonorgestrel-releasing intrauterine system (LNG-IUS) is an effective method for treating adenomyosis, but it has a relatively high expulsion rate. Hysteroscopic suture fixation is a new minimally invasive technique that can improve the stability of LNG-IUS. This paper reports a case of a 37-year-old patient with adenomyosis. The patient received LNG-IUS fixation due to a history of LNG-IUS expulsion. The short- term efficacy after the operation was remarkable. However, persistent and massive vaginal bleeding occurred 11 months after the operation. Eventually, laparoscopic surgery to temporarily block the uterine artery and remove the adenomyosis lesions was performed. This case suggests that LNG-IUS fixation has good short-term efficacy, but long-term complications should be vigilant. The patient′s condition should be fully evaluated before surgery, and follow-up management should be strengthened after surgery to reduce the occurrence of severe adverse events.

Key words: Adenomyosis, Hysteroscopy, Levonorgestrel, Uterine hemorrhage, Therapy

LI Fei-yan, ZHU Cong-xin, LI Yong, SUN Li, LIU Yu. A Case of Severe Anemia Caused by Massive Hemorrhage during the Treatment of Adenomyosis with LNG-IUS Fixation[J]. Journal of International Obstetrics and Gynecology, 2025, 52(3): 271-274.

Figures/Tables 4

References 17

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