We report a case of abdominal actinomycosis in a young woman wearing an intrauterine contraceptive device. The patient presented with right lower abdominal pain. A diagnostic laparoscopy was performed. Intraoperatively two perforations of the sigma were detected, a sigmoidectomy was performed. Postoperatively no problems occurred. Histology revealed an abdominal actinomycosis. In the literature only some case reports are published dealing with abdominal actinomycosis. Women wearing intrauterine contraceptive devices seem to have a higher risk of actinomycosis. In unproblematic cases antibiotic therapy is the treatment of choice. In cases of doubt as in our case surgery is recommended to confirm the diagnosis.

No abstract

by the order of the disturbances of function, as of respiration, or of deglutition. If dysphouia or dyspnoea have preceded dysphagia, we may con¬ clude that the disease has been in its beginning intrinsic. If the difficulty of swallowing has been the first or a very early and prominent symptom, the disease has been extrinsic. SHORT NOTES ON THE SURGICAL DISEASES OF CHILDREN.

No abstract