title: Persistent subumbilical discharge associated with actinomycosis caused by intrauterine contraceptive device: a case report.
abstract: Intrauterine devices are a very effective form of contraception used worldwide for more than 2 centuries. One of the serious, but rare, complications of intrauterine contraception is perforation through the uterine wall into the pelvic or abdominal cavity. In this report we describe, persistent periumbilical discharge associated actinomycosis caused by migration of a copper intrauterine contraceptive device. To our knowledge, this is the first report of persistent periumbilical discharge caused by migration of a copper intrauterine contraceptive device. We recommend consideration of this minor possibility during evaluation of women with chronic abdominal discharge.
authors.affiliation: Gynecological Clinic, Istanbul Bakirkoy Woman and Children Hospital, Istanbul, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Polat
authors.forename: Kemal
authors.initials: K
authors.lastname: Gungorduk
authors.forename: Gulseren
authors.initials: G
authors.lastname: Polat
authors.forename: Gonca
authors.initials: G
authors.lastname: Yildirim
authors.forename: Halil
authors.initials: H
authors.lastname: Aslan
authors.forename: Ali Ismet
authors.initials: AI
authors.lastname: Tekirdag
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000196:Actinomycosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000009:adverse effects*; D014472:Umbilicus