Misdiagnosis Of Pelvic Mass With Intrauterine Contraceptive Device

This article focuses on the evaluation and management of pregnant women who present with an adnexal mass in the setting of acute pelvic pain and an intrauterine contraceptive device in situ. Clinical diagnosis in pregnancy is a challenge because the differential diagnosis for an adnexal mass that presents with pelvic pain is broad and includes pregnancy-related and unrelated causes. The clinical presentation and natural history of abdominal and pelvic disease may be altered in pregnancy. The risk of an ectopic pregnancy in a woman while using Intrauterine contraceptive device is about 15%–20 %. Ultrasound scan is a helpful tool for evaluating a pregnant patient, however, pelvic inflammatory disease (PID) can be difficult to diagnose secondary to vague or confusing symptoms.