Document Detail

Abdominal wall actinomycosis associated with use of an intrauterine device: a case report.
MedLine Citation:
PMID:  1833039     Owner:  NLM     Status:  MEDLINE    
The association between pelvic actinomycosis and the use of intrauterine devices is well established. However, abdominal wall actinomycosis without clinical involvement of the pelvic organs has been reported only once in the literature. The authors present a second case, which occurred in a 24-year-old woman who was using a copper 7 intrauterine device.
Described is the second reported case of isolated abdominal wall actinomycosis associated with use of an IUD. The patient, a 24-year-old white woman, presented with lower abdominal pain, dysuria, urgency, and frequency. Ultrasonography revealed a complex mass in the left lower quadrant of the abdomen that was separate from the uterus, left ovary, and tube. At laparotomy, the patient was found to have an anterior abdominal wall abscess and there was free pus within the abdomen. The omentum was inflamed and adherent to the anterior abdominal wall. The appendix, uterus, ovaries, and tubes were not involved in the inflammatory process. Histologic examination of the omentum demonstrated the typical actinomycotic picture of gram-positive filamentous bacteria within the mass and club-like extensions beyond the periphery of the mass. The patient had a copper-7 IUD in place. The only other reported such case also involved an IUD user. That patient had an isolated anterior wall abscess caused by Actinomyces. The fallopian tubes, ovaries, appendix, omentum, and intestines were normal. The possibility of abdominal wall actinomycosis should be considered in IUD users who present with intra-abdominal abscesses of unknown etiology.
G Groot; L Rivers; T Smith; P Urbanski; C Boyle
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  34     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-11-18     Completed Date:  1991-11-18     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  450-3     Citation Subset:  IM; J    
Department of Surgery, University Hospital, University of Saskatchewan, Saskatoon.
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MeSH Terms
Abdominal Muscles* / surgery
Actinomycosis / etiology*,  surgery
Intrauterine Devices / adverse effects*
Muscular Diseases / etiology,  surgery

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