[Pelvic actinomycosis and sub-acute abdomen].
An interesting case of pelvic actinomycosis with paculiar clinical manifestation is presented. A 42 years-old patient came to our emergency service for an abdominal pelvic pain and fever. Past history showed IUD in situ for over 15 years. The patient was submitted to a ultrasonographic scan and a complete hematological screening was performed. The diagnosis was of subacute abdomen, and an exploratory laparotomy was carried out. During laparotomy an atypical reactive tissue and a suppurative cavity were found. The histological finding of tissue biopsy showed pelvic actinomycosis. On the basis of these findings the conclusion is drawn that a better prevention of pelvic actinomycosis is necessary of its diffusion in the last years due to sexual habit changes.
Messalli
E M
EM
Dipartimento Universitario di Scienze Ginecologiche, Ostetriche e della Riproduzione, Seconda Università degli Studi di Napoli, Naples, Italy. EnricoM.Messalli@unina2.it
Cobellis
L
L
Festa
B
B
Pecori
E
E
Stradella
L
L
Cobellis
G
G
D000006:Abdomen, Acute / Q000209:etiology*; D018784:Abdominal Abscess / Q000150:complications*; D000196:Actinomycosis / Q000150:complications*; D000328:Adult; D005260:Female; D006801:Humans