{
    "abstract": "A case is described wherein a 27 year old woman with a breast lump and an IUD in situ for 12 months complained of a prolonged menstrual period which the physician suggested was caused by the IUD. A dilatation and curettage was performed to remove the IUD and the woman then experienced severe lower abdominal pain. A laparoscopy showed an ectopic pregnancy of 6 weeks in the left fallopian tube; salpingectomy was performed. The author suggests caution in diagnosing a patient with these symptoms for the following reasons: 1) women of childbearing age with lower abdominal pain and unusual menstrual bleeding, even if they have been sterilized, can have an ectopic pregnancy; 2) the absence of amenorrhea can be a trap in failing to disguise pregnancy; 3) ectopic pregnancy should be suspected in a patient with vaginal bleeding, an enlarged uterus, and an IUD, especially if there is pain; and 4) performing a dilatation and curettage does not necessarily mean that the problem has been dealt with.",
    "authors": [
        {
            "affiliation": null,
            "firstname": "L",
            "initials": "L",
            "lastname": "Piterman"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "Australian family physician",
    "keywords": [
        "Contraception",
        "Contraceptive Methods--complications",
        "Curettage",
        "Diseases",
        "Family Planning",
        "Iud--complications",
        "Menorrhagia",
        "Menstruation Disorders",
        "Pain",
        "Pregnancy Complications",
        "Pregnancy, Ectopic",
        "Uterus"
    ],
    "methods": null,
    "publication_date": "1982-04-01",
    "pubmed_id": "7115216",
    "results": null,
    "title": "IUDs and IOUs.",
    "xml": "<Element 'PubmedArticle' at 0x78850454d030>"
}