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Unilateral Tubo-ovarian Abscess and Intrauterine Contraceptive Device

From the Department of Obstetrics and Gynecology. The New York Hospital-Cornell Medical Center. New York. New York.

The association of unilateral tubo-ovarian abscess and the presence or use of an intrauterine contraceptive device(IUD) appears to be a definite clinical entity. Four cases of unilateral tubo-ovarian abscess in patients using the IUD are presented. Three patients had a Dalkon Shield IUD and one had a Lippes Loop. Two patients had unilateral salpingo-oophorectomy while the other 2 had total abdominal hysterectomy and bilateral salpingo-oophorectomy. The differential diagnosis, possible etiology, route and mode of infection, and management are discussed.