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Ileal penetration and tubo-ovarian abscess in the presence of an intrauterine device

This case study reports on a 32-year-old sexually active woman that suffered from abdominal pain vomiting and intermittent diarrhoea after the insertion of an IUD at her 3rd month postpartum visit. It suggests that tubo-ovarian abscess and uterine perforation in patients with abdominal complaints diarrhoea and vomiting should be considered even in the presence of an ultrasound scan showing that the IUD is in the uterine cavity.