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Case Report
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Korean J Obstet Gynecol. 2002;45(8):1416-1420. Published online August 1, 2002.
- A Case Of Pelvic Actinomycosis Associated With An Intrauterine Contraceptive Device.
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J S Lee, M J Kim, J H Kim, C K Lee, S Y Lee, I C Song
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Department of Obstetrics and Gynecology, Busan Medical Center, Busan, Korea.
- Abstract
- Actinomycosis is a chronic, progressive, suppurative, indolent disease which appears to be difficult to establish a correct preoperative diagnosis. Bacause pelvic actinomycosis has variable nonspecific clinical manifestations. A cause of pelvic actinomycosis is secondary to the seeding of upper genital tract from other intraabdominal or hematogenous dissemination, especially, ascending pelvic actinomycosis is related to a long time intrauterine device (IUD) inserted state. The causative agent is a branching, gram positive anaerobic or microaerobic organism, not fung. We experienced a case of actinomycosis in IUD user, discovered pathologically on endocervical currettage, thereafter managed with high dose penicillin, followed up with periodic imaging studies.
Keywords :pelvic actinomycosis;intrauterine device;tuboovarian abscess
