Medical Must-See: Forgotten IUD delivers painful reminder

The patient was as surprised as the ED doctor about the cause of her infection
Pelvic CT

An interesting yarn in BMJ Case Reports tells of a woman who developed a rare pelvic actinomycosis commonly associated with IUDs — only, according to the patient, she had never had one.

The woman, in her 60s, presented to ED with a painful abdominal mass in the right lower quadrant. She also reported asthenia, weight loss and anorexia and had a history of cardiovascular risk factors and acute MI.