Titre
Abdominal actinomycosis associated with intrauterine device: CT features.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Laurent, T.
Auteure/Auteur
de Grandi, P.
Auteure/Auteur
Schnyder, P.
Auteure/Auteur
Liens vers les unités
ISSN
0938-7994
Statut éditorial
Publié
Date de publication
1996
Volume
6
Numéro
5
Première page
670
Dernière page/numéro d’article
673
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
Abdominal actinomycosis is a severe and progressive peritoneal infection, due to an anerobic gram-positive bacterium, Actinomyces israelii. The presence of a long-standing intrauterine device (IUD) is a well-known risk factor in young women. We report two cases of pelviperitoneal actinomycosis appearing in two young women with acute low abdominal pain. Abdominal CT demonstrated multiple solid or encapsulated peritoneal masses with marked contrast enhancement and infiltration of the adjacent mesenteric fat. Laparoscopy confirmed the presence of intraperitoneal abscesses which contained Actinomyces israelii. High doses of amoxicillin and clavulanic acid (Augmentine) were given and following CT scan after 2 and 6 weeks showed a slow, but complete, resolution of the lesions. Although the radiologic presentation of actinomycosis is nonspecific, the diagnosis should be raised in the presence of pseudotumoral mesenteric infiltration, particularly in young women with an IUD. Abdominal CT is a useful method for diagnosis and for follow-up.
Sujets
PID Serval
serval:BIB_6152
PMID
Date de création
2007-11-19T11:43:16.638Z
Date de création dans IRIS
2025-05-20T17:44:36Z