A Case Of Pelvic Actinomycosis Associated With An Intrauterine Contraceptive Device.

Lee, J S; Kim, M J; Kim, J H; Lee, C K; Lee, S Y; Song, I C

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(8):1416-1420.
Published online August 1, 2002.

A Case Of Pelvic Actinomycosis Associated With An Intrauterine Contraceptive Device.

J S Lee, M J Kim, J H Kim, C K Lee, S Y Lee, I C Song

Department of Obstetrics and Gynecology, Busan Medical Center, Busan, Korea.

Abstract

Actinomycosis is a chronic, progressive, suppurative, indolent disease which appears to be difficult to establish a correct preoperative diagnosis. Bacause pelvic actinomycosis has variable nonspecific clinical manifestations. A cause of pelvic actinomycosis is secondary to the seeding of upper genital tract from other intraabdominal or hematogenous dissemination, especially, ascending pelvic actinomycosis is related to a long time intrauterine device (IUD) inserted state. The causative agent is a branching, gram positive anaerobic or microaerobic organism, not fung. We experienced a case of actinomycosis in IUD user, discovered pathologically on endocervical currettage, thereafter managed with high dose penicillin, followed up with periodic imaging studies.

Key Words: pelvic actinomycosis, intrauterine device, tuboovarian abscess