Retroperitoneal fibrosis secondary to actinomycosis with no intrauterine device.

Milam MR, Schultenover SJ, Crispens M, Parker L
Obstet Gynecol. 2004 104 (5 Pt 2): 1134-6

PMID: 15516426 · DOI:10.1097/01.AOG.0000144118.90772.a1

BACKGROUND - Actinomycotic pelvic infection usually occurs in the presence of an intrauterine device. It can result in pelvic inflammatory disease, tubo-ovarian abscess, and retroperitoneal fibrosis.

CASE - A 35-year-old multipara who had never used an intrauterine device presented with a 5-month history of progressively worsening, colicky, right-sided abdominal pain, dysuria, weight loss, and constipation. She was found to have retroperitoneal fibrosis. The diagnosis of actinomycotic pelvic infection was made at laparotomy.

CONCLUSION - Actinomycosis may be considered in the differential diagnosis of women with retroperitoneal fibrosis, even when there is no history of an intrauterine device.

MeSH Terms (22)

Abdominal Pain Abscess Actinomyces Actinomycosis Adult Anti-Bacterial Agents Antifungal Agents Biopsy, Needle Combined Modality Therapy Female Follow-Up Studies Humans Immunohistochemistry Intrauterine Devices Laparotomy Oophoritis Pelvic Inflammatory Disease Retroperitoneal Fibrosis Risk Assessment Severity of Illness Index Tomography, X-Ray Computed Treatment Outcome

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