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The forgotten copper 7 - a circus tale.

E M Wilson1

  • 1Gateshead Health NHS Trust, Low Fell, Gateshead, UK.

The British Journal of Family Planning
|November 19, 1999
PubMed
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A forgotten intra-uterine contraceptive device (IUD) led to a rare pelvic actinomycosis infection. This case highlights a potential complication mimicking ovarian cancer, emphasizing the need for awareness.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Pelvic Health

Background:

  • Intra-uterine contraceptive devices (IUDs) are common, long-acting reversible contraceptives.
  • Pelvic actinomycosis is a rare but serious infection caused by Actinomyces bacteria.
  • The association between IUDs and pelvic actinomycosis is established but infrequently encountered.

Observation:

  • A case of pelvic actinomycosis occurred in a woman with an itinerant lifestyle.
  • The infection was caused by a forgotten Gravigard intra-uterine contraceptive device.
  • The clinical presentation mimicked ovarian malignancy.

Findings:

  • The forgotten IUD was identified as the causative agent for pelvic actinomycosis.
  • The infection presented with symptoms that strongly suggested ovarian cancer.

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  • This case underscores the potential for IUDs to lead to rare infectious complications.

    • Implications:

    • Healthcare providers should consider pelvic actinomycosis in women with IUDs presenting with symptoms suggestive of malignancy.
    • Awareness of this rare complication is crucial, especially in patients with a history of retained devices.
    • Prompt diagnosis and treatment are essential to prevent severe morbidity associated with pelvic actinomycosis.