title: Retroperitoneal fibrosis secondary to actinomycosis with no intrauterine device.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Actinomycosis may be considered in the differential diagnosis of women with retroperitoneal fibrosis, even when there is no history of an intrauterine device.
authors.affiliation: Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Milam
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Schultenover
authors.forename: Marta
authors.initials: M
authors.lastname: Crispens
authors.forename: Lynn
authors.initials: L
authors.lastname: Parker
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000038:Abscess / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007434:Intrauterine Devices; D007813:Laparotomy / Q000379:methods; D009869:Oophoritis / Q000175:diagnosis* / Q000628:therapy; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D012185:Retroperitoneal Fibrosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents