Candida: an unexpected cause of the acute abdomen.
The infected intrauterine contraceptive device (IUCD) is a well-described cause of the acute abdomen. However, severe pelvic infection from Candida is an extremely rare complication of the IUCD. We present the first reported description of a Candida-infected IUCD manifesting as an acute abdomen where the degree of infection precluded a conclusive diagnostic workup and necessitated multiple laparotomies. This case highlights the importance for the clinicians to thoroughly exclude such causes of acute sepsis even after exclusion in the presenting history.
Department of Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Sri Ganeshamurthy
SG
Thrumurthy
Stephenie
S
Tiew
Nicholas
N
Wood
Arnab
A
Bhowmick
D000006:Abdomen, Acute / Q000175:diagnosis / Q000382:microbiology*; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged