Related Experiment Videos
Pelvic abscess in intrauterine device users.
1Department of Obstetrics and Gynecology, Osmangazi University School of Medicine, Eskisehir, Turkey.
Summary
Intrauterine device (IUD) use was investigated in women with pelvic abscesses. While not the primary cause, IUD presence warrants consideration in pelvic abscess diagnosis, especially when sexually transmitted diseases are suspected.
Area of Science:
- Gynecology
- Infectious Diseases
- Surgical Pathology
Background:
- Pelvic abscesses can be serious complications requiring thorough investigation.
- The association between intrauterine device (IUD) use and pelvic abscesses, particularly in long-term users, is not fully understood.
Purpose of the Study:
- To evaluate the potential causal link between intrauterine device (IUD) usage and the development of pelvic abscesses.
- To determine the prevalence of IUD use among patients diagnosed with pelvic abscesses.
Main Methods:
- A retrospective analysis of 62 pelvic abscess cases over seven years.
- Review of patient records for demographic data, IUD usage duration, and clinical management.
Main Results:
- 14.3% of women diagnosed with pelvic abscesses were current IUD users, with a mean IUD usage of 5.7 years.
- Pelvic mass and abdominal pain were the primary symptoms; initial treatment involved antibiotics, with 38.7% requiring surgery.
- No significant differences were found in patient characteristics or abscess size between IUD users and non-users.
Conclusions:
- A notable proportion of pelvic abscess cases involved IUD users, suggesting IUDs should be considered in the differential diagnosis.
- While pelvic inflammatory disease is rare in long-term IUD users, the presence of an IUD warrants investigation in pelvic abscess cases.
- Diagnosis often involves clinical and ultrasonographic evaluation, with sexually transmitted diseases frequently implicated in acquisition.