Korean J Obstet Gynecol.
2002 Mar;45(3):516-519.
A Case of Pelvic Actinomycosis Associated with Intrauterine Contraceptive Device
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Dan Kook University, Cheonan, Korea.
- 2Department of Anatomic Pathology, College of Medicine, Dan Kook University, Cheonan, Korea.
Abstract
- Actinomycosis is a subacute-to-chronic infection caused by gram-positive, anaerobic bacteria. Actino- mycetes reside in oral cavity, gastrointestinal tract, female genital tract as normal flora, but may provoke an opportunistic infection under certain circumstances, resulting in contiguous spread, suppurative and granu- lomatous inflammatory reaction, and formation of multiple abscesses. Abdominal and pelvic actinomycosis in women are related to a history of abdominal surgery or intrauterine contraceptive device (IUD) insertion and have variable nonspecific symptoms that make an initial diagnosis difficult. We experienced a case of pelvic actinomycosis related to IUD that diagnosed pathologically after laparotomy.
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