RESUMO
PIP: 2 case histories of severe pelvic infection and tuboovarian abcesses associated with use of the Majzlin Spring intrauterine device are presented. A 30-year-old parous white woman and a 25-year-old parous black woman were admitted to the Brooklyn-Cumberland Hospitals on separate occassions with a history of prolonged fever, diarrhea, pelvic pain and vomiting. After failure of antibiotic therapy, exploratory laparotomies revealed severely infected ovarian cysts and tuboovarian abscesses with the Majzlin Spring device deeply implanted in the endometrium. Total abdominal hysterectomies and bilateral salpingo-oophorectomies were performed. Although preexisting disease conditions could have existed in these women before the IUD insertion, a cause-and-effect relationship between the IUD as a carrier of a superimposed infection and these conditions should be considered. Much greater care should be taken in the insertion, re-insertion, and follow-up of these devices.^ieng