{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:42Z","timestamp":1756425882718,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:title\/>\n               <jats:p>We present an unusual and complicated case of a 39-year-old woman who was admitted three times in hospital over a period of 4\u2005weeks, with abdominal pain initially and then right loin pain, fever and feeling generally unwell. She was investigated on each admission with different diagnoses set each time, but only on her last admission due to persisting symptoms, an MRI scan revealed a tubo-ovarian abscess associated with pelvic inflammatory disease (PID). We believe that the PID had developed secondary to the intrauterine device and a few weeks after the removal of the Mirena coil she was diagnosed with a tubo-ovarian abscess. As the case unfolds, we will introduce the possible diagnoses and causes that were likely to have led to the development of the abscess.<\/jats:p>","DOI":"10.1136\/bcr-03-2012-6108","type":"journal-article","created":{"date-parts":[[2012,8,3]],"date-time":"2012-08-03T07:49:37Z","timestamp":1343980177000},"page":"bcr0320126108","source":"Crossref","is-referenced-by-count":3,"title":["Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal: Figure\u00a01"],"prefix":"10.1136","volume":"2012","author":[{"given":"Michelle","family":"Christodoulidou","sequence":"first","affiliation":[{"name":"1Department of Urology, Southport and Ormskirk Hospital NHS Trust, Southport, Merseyside, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathew","family":"Thomas","sequence":"additional","affiliation":[{"name":"2Department of Urology, Royal Liverpool and Broadgreen University Hospitals, Liverpool, Merseyside, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev D","family":"Sharma","sequence":"additional","affiliation":[{"name":"3Department of Obstetrics and Gynaecology, Southport and Ormskirk Hospital NHS Trust, Southport, Merseyside, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,8,3]]},"reference":[{"key":"2025082804392768000_2012.aug02_1.bcr0320126108.1","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1111\/j.1471-0528.1981.tb01695.x","article-title":"Pelvic actinomycosis causing ureteric obstruction","volume":"88","author":"Fulton","year":"1981","journal-title":"Case Reports Br J Obstet Gynaecol"},{"key":"2025082804392768000_2012.aug02_1.bcr0320126108.2","first-page":"72","article-title":"Ruptured tuboovarian abscess causing peritonitis in a post-menopausal woman. A difficult diagnosis on imaging","volume":"86","author":"De Temmerman","year":"2001","journal-title":"JBR-BTR"},{"key":"2025082804392768000_2012.aug02_1.bcr0320126108.3","doi-asserted-by":"crossref","unstructured":"Saleh S Ahmad G Majumdar A . Group A streptococcus necrotizing fasciitis from a levonorgestrel-containing intrauterine system (\u2018Mirena\u2019 coil). J Obstet Gynaecol, Gynaecology Case Reports 2011;192\u20134.","DOI":"10.3109\/01443615.2010.529962"},{"key":"2025082804392768000_2012.aug02_1.bcr0320126108.4","doi-asserted-by":"crossref","unstructured":"Lethaby A Cooke I Rees MC . Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. Cochrane Database Syst Rev 2005;19 :CD002126.","DOI":"10.1002\/14651858.CD002126.pub2"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-03-2012-6108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:39:34Z","timestamp":1756381174000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-03-2012-6108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":4,"alternative-id":["10.1136\/bcr-03-2012-6108"],"URL":"https:\/\/doi.org\/10.1136\/bcr-03-2012-6108","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012]]}}}