ArticleBMC urology2025
Intravesical migration of intrauterine device complicated by multifocal sepsis from ruptured tubo-ovarian abscess and acute appendicitis: a comprehensive clinical case study.
Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- A Rare Rectal Foreign Body that Presented as Hematochezia.Digestive diseases and sciences · 2026Article
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9 authors.
Funding
Abstract
backgroundIntrauterine device (IUD) migration is a rare but serious complication of IUD use, most often resulting from unnoticed uterine perforation. However, intravesical migration complicated by multifocal sepsis from ruptured tubo-ovarian abscess (TOA) and acute appendicitis is an exceedingly rare and complex clinical scenario. CASE PRESENTATION: A 39-year-old multiparous Asian female with history of IUD placement presented with features of sepsis. Laboratory and radiological investigations, and quick sequential organ failure assessment (qSOFA) score were promptly done. The assessment was intravesical IUD migration complicated by multifocal sepsis and septic shock due to ruptured TOA and acute appendicitis. She had resuscitation and an urgent combined minimal access surgical intervention. Her postoperative recovery was rapid, and she was discharged four days after surgery.
conclusionThis rare case demonstrates the importance of early recognition of sepsis, the relevant diagnostic and therapeutic challenges of managing a critically ill gynecology patient with a migrated IUD complicated by multifocal sepsis and the significance of patient education and appropriate follow-up after IUD insertion.
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