Case: A 52-year-old female who was presented to accident and emergency felt unwell; she reported that she had an IUCD inserted over 20 years ago. On examination she had a large calcified mass occupying the vagina. CT scan confirmed a calcified IUCD. Conclusion: Serious complication secondary to IUCD is rare but well recorded, extensive calcification as in this case is very rare and has not been previously reported.
Ectopic pregnancy has been increasing in frequency over the past 2 decades. The sudden rupture of ectopic pregnancy can lead to haemorrhagic shock and death if not diagnosed and treated in a timely fashion. The first step in the diagnosis of ectopic pregnancy is demonstration of pregnancy by means of a rapidly performed and sensitive qualitative urine test for the beta-subunit of human chorionic gonadotropin (beta-hCG). This case report demonstrates the importance of further consideration of the diagnosis of ectopic pregnancy in the setting of an unusual presentation like per rectal bleed and amenorrhea for three years in the presence of Mirena.
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