Embedded intrauterine contraceptive device

Case contributed by Yahya Baba
Diagnosis certain

Presentation

Left iliac fossa pain. No fever but biological inflammatory syndrome. CT to rule out sigmoid diverticulitis.

Patient Data

Age: 35 years
Gender: Female

Incarceration of the intra-uterine contraceptive device branches into the anterior myometrial wall and into the left fallopian tube.

No diverticulitis or fat stranding.

No pneumoperitoneum or abdominal fluid.

Right para-uterine mass containing fat and calcifications, suggestive of a mature cystic ovarian teratoma

Case Discussion

This case demonstrates an unusual cause of left iliac fossa pain. The patient was referred to the gynecology department for IUCD removal.

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