Pelvic Actinomycosis Associated with Intrauterine Device

Abstract

Actinomycosis caused by Actinomyces genus is a subacute or chronic suppurative disease.1 Pelvic actinomycosis is usually associated with the longstanding use of IUDs.2 Because the clinical manifestation of pelvic actinomycosis is non-specific, it is hard to be differentiated actinomycosis from tuberculosis, malignancy, or another pelvic inflammatory disease. Thus, the preoperative diagnosis of pelvic actinomycosis is quietly difficult to reach. However, the clinician should keep alert this clinical entity in the presence of pseudotumoral mesentery infiltration on CT scan, especially for women with a longstanding IUD. The outcome of pelvic actinomycosis is favorable if the patient receiving the combinations of surgery and antibiotic treatment.