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A previously healthy 42-year-old woman presented with mild left lower quadrant abdominal pain. There was no relevant medical or family history except she had a T-shaped copper intrauterine contraceptive device (IUCD) inserted 10 years previously. The remainder of her obstetric history was non-specific and included one normal vaginal delivery. Physical examination and laboratory findings at the time of presentation were unremarkable.
Plain radiographs of the abdomen identified the IUCD in the pelvic cavity (figure 1); however, the IUCD was not detected during gynaecological ultrasonography. Further abdominal CT scanning did not reveal any definite focal lesions and the IUCD was not identified (figure 2).
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