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Pelvic and abdominal-wall actinomycotic infection by uterus gateway without genital lesions

I Brezean1, S Aldoescu, E Catrina

  • 1Clinica de Chirurgie Generală "Ion Juvara", Spitalul Clinic "Dr. I. Cantacuzino", Bucureşti. dribrezean@yahoo.com

Chirurgia (Bucharest, Romania : 1990)
|April 22, 2010
PubMed

Insights

Actinomycotic infection, often mistaken for tumors, can occur with intrauterine contraceptive devices (IUCDs). Diagnosis requires pathological examination of infected tissues.

Area of Science:

  • Gynecology
  • Pathology
  • Infectious Diseases

Background:

  • Intrauterine contraceptive devices (IUCDs) are common, but can be associated with rare complications.
  • Actinomycosis is a bacterial infection that can present as a mass or pseudo-tumor.

Observation:

  • A female patient with an IUCD presented with a pseudo-tumoral mass.
  • The mass mimicked a malignant tumor, posing diagnostic challenges.

Findings:

  • Pathological examination of paraffin-embedded tissues confirmed actinomycotic infection.
  • The infection originated in the uterus and spread to the abdominal wall, bladder, and rectum.
  • The fallopian tubes and ovaries were not affected.

Implications:

  • This case highlights the importance of considering actinomycosis in IUCD users presenting with pelvic masses.
  • Accurate diagnosis through pathological examination is crucial for appropriate treatment.
  • Understanding the spread pattern of IUCD-associated actinomycosis is vital for clinical management.

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