Case 1: Abdominal Distention, Bloating, and an Intrauterine Device in a 19-year-old Girl - AAP News
R. Claire Roden , MD * Erin R. McKnight , MD, MPH * , † Elise D. Berlan , MD, MPH * , † * Division of Adolescent Medicine, Nationwide Children's Hospital, Columbus, OH † Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH Presentation A 19-year-old woman with a history of abnormal uterine bleeding requiring blood transfusion presents for care in an adolescent medicine clinic for 2 weeks of generalized abdominal pain. She reports loose stools at onset and constipation at the time of the visit. Her menses are regular and typically light; however, the previous month's cycle was uncharacteristically heavy and prolonged. She reports vaginal intercourse with 5 male partners in the past year and consistent condom use. She has never had a sexually transmitted infection (STI). She had a 52-mg levonorgestrel-containing intrauterine device (LNG-IUD) placed under sedation approximately 1 year earlier for contraception and treatment of abnormal uterine blee...