title: The case of asymptomatic primary actinomycosis of the greater omentum in the patient with intrauterine contraceptive device.
abstract: This paper describes a case of asymptomatic multifocal actinomycosis of the greater omentum which was detected accidentally in a patient who was suspected of uterus myoma. The patient was a 40 year old woman who had a copper intrauterine contraceptive device (IUCD) for three years. After the gynecological examination and pelvic ultrasound she was diagnosed with sub serous myoma of uterus. Since she did not give a birth it was suggested to have myoma enucleating. However during the surgery a dermoid teratoma of the right ovary was detected so it was removed together with tumor and there were two thickenings on the greater omentum, suspicious of inflammation, whereas one grew together with the front abdominal wall. Due to these conditions, she had partial omentectomy done and omentum was sent for path histological examination. The path histological examination confirmed it to be actinomycosis. The patient had an intensive antibiotic therapy prescribed (Penicillin) in order to prevent a disease relapse because we could not be sure whether the remaining part of omentum was affected by microscopic actinomycosis.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital "Osijek", Osijek, Croatia. milojkovic_dr@net.hr
authors.forename: Miodrag
authors.initials: M
authors.lastname: Milojković
authors.forename: Milanka
authors.initials: M
authors.lastname: Mrcela
authors.forename: Mirjana
authors.initials: M
authors.lastname: Rubin
authors.forename: Marija
authors.initials: M
authors.lastname: Pajtler
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D009852:Omentum / Q000382:microbiology*; D010532:Peritoneal Diseases / Q000209:etiology*