title: Pelvic Actinomycosis Associated with an Intrauterine Contraceptive Device Demonstrated on F-18 FDG PET/CT.
abstract: A 44-year-old woman with a history of dysmenorrhea, obstipation, and low back pain was investigated for gynecological disorder. Physical examination indicated a "frozen pelvis". Ultrasound examination revealed the ovaries adherent to the uterus, bilateral ovarian cysts, and an intrauterine contraceptive device in situ, which reportedly had been in place for 19 years. Prior to a scheduled laparoscopy, the patient returned with oedema of the lower abdomen and legs, fatigue, and weight loss. Laboratory findings included elevated CA-125, anemia, leucocytosis and high C-reactive protein. Pelvic actinomycosis was subsequently diagnosed. We report the PET/CT appearance of this condition.
authors: Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. danijela.dejanovic@regionh.dk.
authors: Danijela
authors: D
authors: Dejanović
authors: Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. j.a.ahnlide@telia.com.
authors: Jan Anders
authors: JA
authors: Ahnlide
authors: Juliane Marie Centre for Children, Women and Reproduction (JMC) Rigshospitalet, Copenhagen University Hospital, 1165 Copenhagen, Denmark, Denmark. cecnilsson@gmail.com.
authors: Cecilia
authors: C
authors: Nilsson
authors: Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. anne.kiil.berthelsen@regionh.dk.
authors: Anne Kiil
authors: AK
authors: Berthelsen
authors: Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. annika.loft.jakobsen@regionh.dk.
authors: Annika
authors: A
authors: Loft
keywords: FDG, PET/CT; actinomycosis; frozen pelvis; intrauterine device