Pelvic actinomycosis associated with bilateral hydronephrosis developed in a nulligravida woman.

Shin, Sang Hyun; Chang, Doo Young; Chun, Kyoung Chul; Jeon, Myung Kwon; Kim, Young Ah; Lee, Eung Soo

doi:2010.53.5.455

Obstet Gynecol Sci > Volume 53(5); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(5):455-458.
DOI: https://doi.org/10.5468/kjog.2010.53.5.455 Published online May 1, 2010.

Pelvic actinomycosis associated with bilateral hydronephrosis developed in a nulligravida woman.

Sang Hyun Shin, Doo Young Chang, Kyoung Chul Chun, Myung Kwon Jeon, Young Ah Kim, Eung Soo Lee

Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. dychang@paik.ac.kr

Abstract

Pelvic actinomycosis is well-known to be associated with the longstanding use of intrauterine devices, sometimes related with a pregnancy history and an obstetric and/or gynecologic surgery. It can extend to the retroperitoneum and may also be associated with ureteral obstruction. In this case, pelvic actinomycosis in the form of bilateral tubo-ovarian abscess extending to the retroperitoneum resulting in bilateral hydronephrosis occurred in a nulligravida woman who had only few prior sexual intercourses. Apparently, pelvic actinomycosis can occur without any specific history. Moreover, such could possibly give rise to hydronephrosis by direct extension to the retroperitoneum.

Key Words: Actinomycosis, Hydronephrosis, Tubo-ovarian abscess, Nulligravida