Rectovaginal examination also suggested fullness in the rectouterine pouch. Ultrasonography (USG) of the abdomen demonstrated a large anechoic abdominopelvic cystic mass extending from the left lower quadrant of the abdomen deep in the pelvis into the rectouterine pouch.
On bimanual exam, uterus was retroverted and part of IUD was palpable in rectouterine pouch. All the baseline investigations including ESR werein normal range.
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