作者: J. F. Kustrup , D. Antonelli
DOI:
关键词: Sigmoid colon 、 Pelvic inflammatory disease 、 Medicine 、 Actinomycosis 、 Pelvic Infection 、 Surgery 、 Laparotomy 、 Intrauterine device 、 Colostomy 、 Pelvic cavity
摘要: Pelvic actinomycosis associated with the use of intrauterine contraceptive devices (IUDs) can mimic pelvic malignancy. Recognizing this rare, but not uncommon complication IUD spare a patient from an extensive surgical procedure. If recognized preoperatively, simple regimen antibiotics be curative; however, if symptomatic, limited procedure is warranted. We present case 55-year-old woman slow, indolent course partial large bowel obstruction and history for over 20 years. A preoperative CT scan revealed frozen pelvis mimicking Exploratory laparotomy firm, indurated, fibrotic reaction in involving uterus, adnexa, sigmoid colon. diverting loop colostomy was performed, pathology sulfur granules extracted that grew Actinomyces. The treated appropriate antibiotics, during takedown 6 months later inflammation completely resolved. An review literature actinomycotic abscesses reveals number studies reported general literature. It behooves surgeon to aware unusual so consultation treatment performed morbidity patient.