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[Multiple liver abscesses in long-term intrauterine device]
1Medizinische Fakultät-Klinikum Rudolf Virchow, Humboldt-Universität zu Berlin.
Abstract:
We report on two cases of multiple hepatic abscesses caused by sever pelvic inflammatory disease secondary to intrauterine device. Such complication have previously been reported only twice. The course of the diseases were non-specifically for a long time. As causative agent we isolated Klebsiella pneumoniae in the first case and in the other Fusobacterium necroforum. The patients were cured with combined operative and medical therapy.
Insights
Pelvic inflammatory disease (PID) from intrauterine devices can cause rare multiple liver abscesses. Prompt combined therapy led to recovery in two reported cases.
Area of Science:
- Hepatology
- Infectious Diseases
- Gynecology
Background:
- Pelvic inflammatory disease (PID) is a serious complication of intrauterine device (IUD) use.
- Hepatic abscesses are collections of pus in the liver, rarely associated with PID.
- This study investigates a rare complication of IUD-associated PID.
Observation:
- Two patients presented with non-specific symptoms for a prolonged period.
- Both patients had multiple hepatic abscesses.
- The underlying cause was identified as severe pelvic inflammatory disease secondary to intrauterine device use.
Findings:
- Klebsiella pneumoniae was isolated in the first case.
- Fusobacterium necroforum was identified as the causative agent in the second case.
- Both patients demonstrated a favorable outcome following combined operative and medical management.
Implications:
- Highlights the potential for severe, uncommon complications arising from IUDs.
- Emphasizes the importance of considering PID in the differential diagnosis of hepatic abscesses.
- Suggests that prompt, combined therapeutic approaches are effective in managing this rare condition.