Intrauterine contraceptive device-related actinomycosis infection presenting as an incarcerated inguinal hernia.
We report an unusual case of an intrauterine contraceptive device (IUCD)-related pelvic actinomyces infection presenting as an incarcerated inguinal hernia. An emergency laparotomy showed the presence of pyometra with large abscesses, involving both fallopian tubes and the right ovary with pyometra tracking down the left psoas into the groin, giving a clinical and radiological appearance of an incarcerated hernia. Subsequent results obtained from investigations showed the presence of actinomyces-like organisms on the patient's smear related to an IUCD.
Dharmadhikari
Deepali
D
County Durham and Darlington Acute Hospitals NHS Trust, Darlington Memorial Hospital, Darlington, UK. deepalid@doctors.org.uk
Dharmadhikari
Rahul
R
Macdonald
John
J
Beukenholdt
Remko
R
D000190:Actinomyces / Q000254:growth & development*; D000196:Actinomycosis / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000382:microbiology*; D007813:Laparotomy; D034161:Pelvic Infection / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery