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Reminder of important clinical lesson
Candida: an unexpected cause of the acute abdomen
  1. Sri Ganeshamurthy Thrumurthy1,
  2. Stephenie Tiew2,
  3. Nicholas Wood3,
  4. Arnab Bhowmick2
  1. 1Department of Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
  2. 2Department of Surgery, Royal Preston Hospital, Preston, UK
  3. 3Department of Gynaecology, Royal Preston Hospital, Preston, UK
  1. Correspondence to Sri Ganeshamurthy Thrumurthy, srigan{at}


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.

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  • Competing interests None.

  • Patient consent Obtained.

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