Endometrial actinomycosis associated with intrauterine contraceptive device forgotten for 44 years

Intrauterine contraceptive devices (IUCD) are an effective way for contraception. Proper patient education at the time of placing the IUCD is important. Otherwise, they may not come for device removal at appropriate time, and it may be left in situ and forgotten, which can lead to complications at a later date. Here, we present a case of a 76-year-old lady who came with postmenopausal bleeding due to a forgotten IUCD leading to actinomycotic endometritis. The device was removed hysteroscopically under general anesthesia followed by appropriate antibiotics and the patient recovered well.

Abstract licence: CC BY-NC-SA

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