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Pelvic actinomycosis in menopause: a case report
L Cobellis1, E M Messalli, G Pierno
1Chair of Obstetrics and Gynecology, Second University of Naples, via Santa Lucia n.39, 80132 Naples, Italy. luigicobellis@yahoo.it
Maturitas
|July 14, 2001
Summary
Intrauterine devices (IUDs) may increase pelvic actinomycosis risk in postmenopausal women. Removing IUDs is recommended for this demographic to prevent potential complications and ensure timely diagnosis.
Area of Science:
- Gynecology
- Infectious Diseases
- Medical Case Reports
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Actinomycosis is a rare bacterial infection.
- The association between IUD use and pelvic actinomycosis requires further investigation, particularly in postmenopausal women.
Observation:
- A case of pelvic actinomycosis is presented in a postmenopausal woman with a 14-year history of IUD use.
- Symptoms included abdominal pain, tension, and rectal tenesmus, with delayed diagnosis after IUD removal.
- Histopathological examination confirmed actinomycosis colonies.
Findings:
- The study supports a link between IUD usage and pelvic actinomycosis.
- Diagnosis was challenging and confirmed post-surgically.
- Delayed presentation of symptoms occurred even after IUD removal.
Implications:
- The findings suggest a mandatory removal of IUDs in postmenopausal women.
- Early detection and management of pelvic actinomycosis associated with IUDs are crucial.
- This case highlights the importance of considering IUD status in the differential diagnosis of pelvic infections in this population.