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Gynaecological cause for bowel obstruction
  1. R Sivakumar1,
  2. I Bhatti1,
  3. A Bali2,
  4. G Tierney1
  1. 1
    Department of Surgery, Derby City General Hospital, Derby, UK
  2. 2
    Department of Obstetrics and Gynaecology, Derby City General Hospital, Derby, UK
  1. Correspondence to Dr I Bhatti, Department of Surgery, Derby City General Hospital, Uttoxeter Road, Derby DE22 3NE, UK; imran.bhatti{at}nhs.net

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Clinical presentation

A 38-year-old lady presented to the gynaecologist complaining of a 6-week history of lower abdominal pain, vomiting, constipation, weight loss and vaginal discharge. Her previous medical history included insertion of an intrauterine contraceptive device (IUCD) a year previously and an open appendicectomy. Physical examination revealed a distended abdomen and suprapubic abdominal tenderness with the presence of a palpable firm tender mass arising from the pelvis. Laboratory investigations found normocytic anaemia (haemoglobin 7.3; mean corpuscular volume 80.9 fl), …

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