Abstract
Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.
Highlights
Actinomycosis is a rare subacute or chronic infectious disease resulting in suppurative and granulomatous inflammation
Healthy mucosa acts as a barrier to the spread of the organism, but tissues damaged by neoplasm, surgery, trauma, or foreign body allow multiplication and spread of actinomycosis [2, 3]
We report a case of isolated abdominal wall actinomycosis caused by long-term use of an intrauterine contraceptive devices (IUCD)
Summary
Actinomycosis is a rare subacute or chronic infectious disease resulting in suppurative and granulomatous inflammation. Actinomycosis of the abdominal wall in the presence of an IUCD without pelvic or intraperitoneal involvement is extremely rare [3,4,5,6,7,8] and poses a diagnostic challenge for clinicians, as it can be confused with malignancies [9]. In this present paper, we report a case of isolated abdominal wall actinomycosis caused by long-term use of an IUCD. To the best of our knowledge, only six cases were reported in the literature regarding primary abdominal wall actinomycosis in the presence of an IUCD
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