Streptococcus constellatus Peritonitis and Subsequent Septic Shock following Intrauterine Device Removal

Figure 1

Patient’s computed tomography (CT) scan of the abdomen and pelvis before surgery. Figure 1(a) Transverse view. Figure 1(b) Coronal view. Black arrow demonstrates right adnexal peripherally enhancing mass with extensive surrounding inflamatory changes and foci of air compatible with tubo-ovarian absess (TOA). Blue arrow demonstrates extensive inflitration of teh mesentery with inflamatory changes as well as fluid concerning for TOA rupture and seeding of the mesentary.

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