Thrumurthy Sri Ganeshamurthy, Tiew Stephenie, Wood Nicholas, Bhowmick Arnab
Department of Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
BMJ Case Rep. 2010 Dec 29;2010:bcr0420102948. doi: 10.1136/bcr.04.2010.2948.
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.
感染的宫内节育器（IUCD）是急腹症的一个常见病因。然而，念珠菌引起的严重盆腔感染是IUCD极为罕见的并发症。我们首次报告了一例念珠菌感染的IUCD表现为急腹症的病例，感染程度使得无法进行确定性的诊断检查，需要多次剖腹手术。该病例强调了临床医生即使在现病史中已排除此类病因，仍需彻底排除急性脓毒症病因的重要性。
