2 days of severe abdominal pain. Vomiting. Pyrexial. Tender across lower abdomen.
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Extensive inflammatory change in the lower abdomen and pelvis. Intra-uterine contraceptive device. Mural thickening and enhancement of a tubular structure in the right adnexa, adjacent to a collection with enhancing margins. Normal bowel and solid abdominal viscera.
Laparoscopy confirmed a tubo-ovarian abscess and drainage was performed. The intra-uterine contraceptive device was removed as that was considered to be the route of introduction or propagation of the inflammatory change.