Ultrasound-guided transvaginal aspiration in the management of actinomyces pelvic abscess.
BACKGROUND
Increasing reports of intrauterine device (IUD)-related abdominopelvic actinomycosis have been described recently. Surgical therapy has been the usual treatment when tubo-ovarian abscess is identified.


METHODS
A 38-year-old woman suffering from Actinomyces pelvic abscess unresponsive to medical treatment underwent transvaginal ultrasound-guided needle aspiration. It resulted in marked improvement and avoided surgical treatment.


CONCLUSIONS
Transvaginal needle aspiration of Actinomyces pelvic abscess may be an alternative to surgical therapy, thereby allowing the preservation of pelvic organs.
Anteby
E Y
EY
Department of Obstetrics and Gynecology, Hadassah University Hospital, MT. Scopus, Jerusalem, Israel.
Rahav
G
G
Hanoch
J
J
Shimonovitz
S
S
Yagel
S
S
Laufer
N
N