Retroperitoneal fibrosis secondary to actinomycosis with no intrauterine device.
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.
Milam
Michael R
MR
Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Schultenover
Stephen J
SJ
Crispens
Marta
M
Parker
Lynn
L
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
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents