Korean J Obstet Gynecol.  2010 May;53(5):455-458. 10.5468/kjog.2010.53.5.455.

Pelvic actinomycosis associated with bilateral hydronephrosis developed in a nulligravida woman

Affiliations
  • 1Department 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.

Keyword

Actinomycosis; Hydronephrosis; Tubo-ovarian abscess; Nulligravida

MeSH Terms

Abscess
Actinomycosis
Female
Gynecologic Surgical Procedures
Humans
Hydronephrosis
Intrauterine Devices
Reproductive History
Ureteral Obstruction

Figure

  • Fig. 1 (A) Contrast-enhanced computed tomography (CT) scan shows bilateral complex, solid and cystic masses in the adnexal regions and ascites (black arrowheads). The right side mass is composed of mainly solid lesion (white arrows) and cystic lesions (black arrow). The left side mass is mainly cystic have thick, enhancing wall (white arrowhead). (B) Contrast-enhanced CT scan shows bilateral hydronephrosis (black arrows).


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