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Left lower quadrant abdominal pain caused by an IUCD
  1. Huan-Lun Hsu1,
  2. Chin-Chen Chang2,
  3. Jin-Tung Liang3,
  4. Kao-Lang Liu2
  1. 1Department of Internal Medicine, Far Eastern Memorial Hospital, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  2. 2Departments of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  3. 3Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  1. Correspondence to Dr Kao-Lang Liu, Department of Medical Imaging, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, Taiwan; lkl{at}ntu.edu.tw

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Clinical presentation

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).

Figure 1

Plain abdominal radiograph showed the T-shaped intrauterine contraceptive device (IUCD) in the left pelvic cavity. The surrounding …

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