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Related Experiment Videos

[Abdominal actinomycosis]

M Kahle1, H Walther, G Schmidt

  • 1Chirurgische Klinik, Klinikum Landshut.

Deutsche Medizinische Wochenschrift (1946)
|May 28, 1993
PubMed
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Recurrent actinomycosis, a rare bacterial infection, can manifest years after initial treatment, potentially involving pelvic organs and the colon. This case highlights the importance of considering long-term surveillance for patients with a history of pelvic actinomycosis.

Area of Science:

  • Gynecologic Oncology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Actinomycosis is a rare, chronic bacterial infection often associated with intrauterine devices.
  • Previous adnexectomy for actinomycosis does not preclude later recurrence.

Observation:

  • A 32-year-old woman presented with abdominal and back pain 12 years post-adnexectomy for ovarian actinomycosis.
  • Imaging revealed sigmoid colon stenosis, left ureteral stenosis with hydronephrosis, and a palpable abdominal mass.
  • Relaparotomy identified a rectosigmoid tumor involving the right ovary, ureter, and retroperitoneum.

Findings:

  • Histological examination confirmed recurrent actinomycosis of the ovary, sigmoid colon, and pelvic mesocolon.
  • Surgical resection included the sigmoid colon, uterus, right ovary, and ureter.

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  • Amoxicillin therapy was initiated for the confirmed actinomycosis.

    • Implications:

    • Pelvic actinomycosis can recur years after initial treatment, necessitating long-term monitoring.
    • Intrauterine devices may play a role in primary uterine infection and subsequent spread.
    • Recurrence may result from reactivation of dormant bacteria in the retroperitoneum or mesocolon.