XXXX involving the liver. Computed tomography/ultrasound correlation.

@entity1 @entity43 @entity5850 @entity409 @entity158 @entity2670 @entity221
The clinical profile of pelvic @entity5850 , which is being recognized with increased frequency in IUD users, can be misleading in such @entity1 and lead to dangerous delays in diagnosis. The authors present a case in which an IUD user initially sought medical attention for multiple liver abscesses secondary to spread from unsuspected @entity43 . The 43-year-old @entity1 , who was admitted with right upper @entity158 and @entity221 , had a 15-year history of IUD use, although the device had been removed 1 year prior to admission for apparent infection in the left ovary. Ultrasound revealed mixed @entity409 as well as a complex subcapsular fluid collection. A solid left adnexal mass was demonstrated in the pelvis. Computed tomography scan indicated extension of 1 of the @entity409 through the liver capsule and into the abdominal wall. Needle aspirations of the @entity409 yielded thick pus that was later identified as Actinomyces israelii. @entity5850 was evident in the @entity2670 . Colonization of the vagina and uterus by @entity5850 has been reported by 1.6-5.3% of IUD users, and the risk appears to increase when the same IUD is used for a prolonged time period. In this case, neither the computed tomography scan nor ultrasound suggested an inflammatory process of the left ovary. Aspiration of a @entity409 under ultrasound guidance was necessary for the correct diagnosis. Since @entity5850 has the potential to spread to extrapelvic organs such as the peritoneum, liver, and brain, early diagnosis is essential.
