Case Report
Volume: 2 | Issue: 3 | Published: Sep 01, 2018 | Pages: 104 - 107 | DOI: 10.24911/ejmcr/173-1528846967
Recurrent pelvic actinomycosis: a case report
Authors: Vishal Walasangikar , Priya Hira , Ameya Kulkarni , Amit Jain , Rajaram Sharma , Sumit Mitkar , Amrita Narang , Amit Dey
Article Info
Authors
Vishal Walasangikar
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Priya Hira
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, India
Ameya Kulkarni
Department of Radiology, Sree Balaji Medical College and Hospital, Chennai, India
Amit Jain
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Rajaram Sharma
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Sumit Mitkar
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Amrita Narang
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Amit Dey
Department of Radiology, Seth G.S Medical College and K.E.M Hospital, Mumbai, India
Publication History
Received: June 13, 2018
Revised: August 12, 2018
Accepted: August 18, 2018
Published: September 01, 2018
Abstract
Background: Actinomycosis is a chronic granulomatous disease caused by an obligate anaerobic species from the genus Actinomyces. Case Presentation: We describe the case of a 36-year-old woman, who presented with recurrent episodes of abdominal pain since 2002. These bouts of abdominal pain increased in severity over the last 4 years, and the patient was subsequently diagnosed to have actinomycosis. Conclusion: Although intra-abdominal actinomycosis is very rare, it should be considered in the differential diagnosis of abdominal pain, particularly in any women using an intra-uterine device and presenting with abdominal pain or a pelvic mass. If actinomycosis is suspected preoperatively, appropriate handling and processing of cultures can increase the diagnostic yield and may save the patient from an extensive surgery.
Keywords: Actinomycosis, CT (computerized tomography), granulomatous, fungal, IUCD (intra-uterine contraceptive device), green
