Reactions 1704, p226 - 2 Jun 2018 Anembryonic pregnancy following contraceptive failure : case report A 31-year-old woman developed anembryonic pregnancy following failure of levonorgestrel subdermal implant [Jadelle; dosage not stated]. The woman with a subdermal implant in her left arm for 13 months, presented to hospital eight weeks and one day after her last normal menstrual period (T0+8 weeks 1 day)with complaints of pelvic pain, prolonged menstrual bleeding and spotting of 1 month duration. The pain was insidious, cramping, had no aggravating or relieving factors. Two weeks after the symptoms appeared (T0+6 weeks 1 day), she consulted at a local health centre where a beta-human chorionic gonadotrophin (hCG) qualitative urine pregnancy test was found negative. The symptoms were considered as adverse reactions of levonorgestrel, and she was prescribed paracetamol tablets. However, due to persisting symptoms, she presented for the current presentation. Her physical examination, showed suprapubic tenderness and blood trickling from her cervix was noted in speculum vaginal examination. Pelvic ultrasound demonstrated an intrauterine gestational sac with mean gestational sac diameter (MSD) of 28mm without any yolk sac. Subsequently, she was diagnosed with an anembryonic pregnancy secondary implant failure at 8 weeks 1 day gestational age (based on last menstrual period). The woman underwent dilatation and curettage with suction the following day under local anaesthesia, with aid of a manual vacuum aspirator. She was monitored for 6 hours and discharged home. During a follow-up examination after five days, she reported resolution of the pelvic pain and vaginal bleeding. Physical examination of abdomen and speculum vaginal examination were normal. Author comment: "In this case report, we describe a rare incident of anembryonic pregnancy following failed contraception with 13 months’ regular JADELLE implant use." Moutchia-Suh J, et al. Occurrence of anembryonic pregnancy with use of levonorgestrel subdermal implant (JADELLE): A case report. Journal of Medical Case Reports 12: 111, No. 1, 2018. Available from: URL: http://doi.org/10.1186/ s13256-018-1675-2 - Cameroon 803322995 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera