Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis
| Autor: | E. Kizilkilic, Guldeniz Aksan Desteli, Türkan Gürsu, Ebru Demiralay, Funda Timurkaynak, Hüseyin Yüce Bircan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Vaginal discharge
medicine.medical_specialty Peritonitis Intrauterine device Microbiology Asymptomatic Actinomycosis Virology Pelvic inflammatory disease medicine Humans Abscess Thrombocytosis business.industry General Medicine Middle Aged medicine.disease Surgery Infectious Diseases Intestinal Perforation Parasitology Female medicine.symptom business Pelvic Infection Rare disease Intrauterine Devices Pelvic Inflammatory Disease |
| Zdroj: | Journal of infection in developing countries. 7(12) |
| ISSN: | 1972-2680 |
| Popis: | Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop. Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation. |
| Databáze: | OpenAIRE |
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