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Korean Journal of Obstetrics & Gynecology 2001;44(6):1186-1191.
Published online June 1, 2001.
A case of Pelvic Actinomycosis Associated with Intrauterine Device.
Je Yong Park, Sung Joo Kim, Woo Seok Sohn, Jung Bae Kang, Pong Rheem Jang
Department of Obstretics & Gynecology, college of Medicine, Hallym University, Sacred Heart Hospital, Korea.
Abstract
Actinomycosis is a chronic, progressive, suppurative disease which appears to be difficult to establish a correct preoperative diagnosis. Most of pelvic actinomycosis in women are related to a long time intrauterine device(IUD) inserted state. The causative agent is a branching, gram-positive anaerobic or microaerobic organism, not fungi. Ascending infection of the upper genital tract by actinomycosis may be clinically inapparent. We experienced a case of clinically inapparent tuboovarian actinomycosis in a 47-year-old women with IUD, discovered pathologically after laparotomy.
Key Words: pelvic actinomycosis, intrauterine device, tuboovarian abscess


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