Abstract
A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. An intrauterine contraceptive device (IUCD) was noted. In light of the CT findings, she underwent a diagnostic laparoscopy. As the inflammatory mass was not separable from the transverse colon, a segmental transverse colectomy was proceeded. The histology revealed multiple actinomycosis abscesses in the mesentery. Subsequently, we learnt that her IUCD had been in situ for the last 7 years, and the source of actinomycosis abscesses is likely from her IUCD. The patient was recommended to have the coil removed and commenced on a 6 months course of amoxicillin.
Reference32 articles.
1. Ein Mittel zur Verhütung der Konzeption;Richter;DMW ,1909
2. History of intrauterine devices;Margulies;Bull N Y Acad Med,1975
3. United Nations. World Contraceptive Use. 2011 http://www.un.org/esa/population/publications/contraceptive2011/contraceptive2011.htm
4. United Nations. World Contraceptive Use. 2018 http://www.un.org/en/development/desa/population/publications/dataset/contraception/wcu2018.shtm (Accessed 10st Sept 2018).
5. Ye H , Huang S , Zhou Q , et al . Migration of a foreign body to the rectum: a case report and literature review. Medicine 2018;97:e11512.doi:10.1097/MD.0000000000011512