Grossesse Embryonnaire Intra-Utérine lors de l'Utilisation de l'Implant Sous-Cutané de Lévonorgestrel : À Propos d’un Cas
DOI :
https://doi.org/10.5281/hra.v2i3.5357Mots-clés :
Levonorgestrel, JADELLE, Intrauterine embryonic pregnancy, MbangaRésumé
ABSTRACT
Subdermal implants represent one of the most effective contraceptive procedures. Gestation is reported as a rare possible consequence in cases of contraceptive failure of these products. We submit a case of gestation occurring in a woman using levonorgestrel-releasing subdermal implant (JADELLE®). We present the case of a 24-year-old G3P2002, non-obese, Cameroonian (Black African) housewife using the JADELLE® implant for 2 years, consulted at our Mbanga District Hospital (MBD) for a positive qualitative urine pregnancy test despite the implant. She presented with a 4 months history of amenorrhea and 1 week history of abnormal intra-abdominal movements. Clinical examination was unremarkable but an abdominopelvic ultrasound revealed a viable singleton intrauterine pregnancy of 19 weeks. This case report highlights the possibility of an embryonic pregnancy occurring in women using the levonorgestrel-releasing subdermal implant (JADELLE*).
RÉSUMÉ
Les implants sous-cutanés représentent l'une des méthodes contraceptives les plus efficaces. La gestation est rapportée comme une conséquence rare possible en cas d'échec contraceptif de ces produits. Nous présentons un cas de gestation survenue chez une femme utilisant l'implant sous-cutané libérant du lévonorgestrel (JADELLE®). Nous présentons le cas d'une femme camerounaise (africaine noire) de 24 ans, G3P2002, non obèse, femme au foyer utilisant l'implant JADELLE® pendant 2 ans, consultée à notre Hôpital de District de Mbanga (MBD) pour un test de grossesse urinaire qualitatif positif malgré l'implant. Elle présentait une aménorrhée depuis 4 mois et des mouvements anormaux intra-abdominaux depuis 1 semaine. L'examen clinique était normal, mais une échographie abdomino-pelvienne a révélé une grossesse unique intra-utérine viable de 19 semaines. Ce rapport de cas met en évidence la possibilité d'une grossesse embryonnaire survenant chez les femmes utilisant l'implant sous-cutané libérant du lévonorgestrel (JADELLE*).
Références
Effectiveness of Family Planning Methods. https://www.cdc.gov/reproductivehealth/unintendedpregnancy/pdf/contraceptive_methods_508.pdf.
Harrison-Woolrych M, Hill R. Unintended pregnancies with the etonogestrel implant (Implanon): a case series from post marketing experience in Australia. Contraception. 2005;71:306–8.
Subdermal implantable contraceptives versus other forms of reversible contraceptives or other implants as effective methods for preventing pregnancy (Review).Copyright © 2012 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
JADELLE : https://www.rxlist.com/jadelle-drug.htm#indications.
5.Resume caractéristiques du produit : http://agence-prd.ansm.sante.fr/php/ecodex/rcp/R0167668.htm
PEARL INDEX: https://www.sciencedirect.com/topics/medicine-and-dentistry/pearl-index
The Agile Patch: a low-dose levonorgestrel/ethinyl estradiol transdermal contraceptive delivery system: https://www.fda.gov/media/132041/download
Téléchargements
Publié-e
Comment citer
Numéro
Rubrique
Licence
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC BY-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
