Medical Must-See: Forgotten IUD delivers painful reminder

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

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.

Pelvic CT

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.

Doctors noted a tubular swelling with an elastic consistency and regular contours, measuring 20cm ×