title: [How is agonizing leg pain associated with an intrauterine device?].
abstract: We report on a typical clinical course of pelvic actinomycosis: initial uncharacteristic discomfort develops into a systemic illness associated with a pelvic mass, which progresses so fast that along with the systemic infection further symptoms can be reduced to its growth rate--tiredness, abdominal pain, micturition deficiency, and leg pain. Distinction between malignancy and pelvic actinomycosis could be made only intraoperative. After hysterectomy and with antibiotics the patient recovered quickly.
authors.affiliation: 1 Gesundheitszentrum St. Gallen.
authors.forename: Kristian
authors.initials: K
authors.lastname: Jäckel
authors.forename: Thomas
authors.initials: T
authors.lastname: Braschler
authors.forename: Wolfram
authors.initials: W
authors.lastname: Jochum
authors.forename: Tanja
authors.initials: T
authors.lastname: Hülder
authors.forename: Beat
authors.initials: B
authors.lastname: Knechtle
mesh_terms: D000038:Abscess / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000382:microbiology; D007866:Leg / Q000294:innervation*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009215:Myometrium / Q000473:pathology; D009408:Nerve Compression Syndromes / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010146:Pain / Q000209:etiology*; D010249:Parametritis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013127:Spinal Nerves / Q000473:pathology*
keywords: Aktinomykose; Bauchschmerz; Differenzialdiagnose; Spirale; Tumor; abdominal pain; actinomycosis; differential diagnosis; intrauterine device; tumor