Successful treatment of pelvic actinomycosis using transgluteal drainage: A case report

Inatomi, Ayako; Tsuji, Shunichiro; Amano, Tsukuru; Kobayashi, Masashi

doi:10.1016/j.jiac.2016.01.017

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…As for the patients with extensive abscesses and obstructive symptoms, invasive intervention, such as drainage or resection of infected and necrotic tissues should be considered. Although the complication associated with percutaneous drainage of pelvic abscesses, such as damage to adjacent organs (the bladder, uterus or colon), puncture site pain, nerve injury, and hematoma [6], rarely occur, it is an alternative method to treat deep pelvic abscess for cases with poor response to antibiotics, and the duration of antimicrobial therapy could be reduced [3]. Early identification and treatment of actinomyces, as well as elaborate preoperative evaluation could have helped to reduce treatment-related morbidity and a overall improve patient outcomes and safety [7].…”

Section: Discussionmentioning

confidence: 99%

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Severe pelvic actinomycosis with intrauterine device in situ and abdominal wall involvement treated with medication only: case report

Wang¹,

Wu²,

Huang³

2020

Clin. Exp. Obstet. Gynecol.

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Pelvic actinomycosis is a rare, granulomatous disease, caused by the gram-positive anaerobic bacteria, Actinomyces. It is usually associated with recent abdominopelvic surgery or intrauterine contraceptive device placement. The diagnosis is difficult because of the similarity with malignancy, inflammatory bowel disease, and tuberculosis. Although intrauterine device related actinomycosis is considered a well-documented diagnosis, there are intermittent case reports of unusual presentations. Appropriate image survey can aid clinicians in its diagnosis and treatment of pelvic actinomycosis and further prevent unnecessary invasive intervention. Here the authors present a case of suspected pelvic actinomycosis with abdominal wall involvement supported with images and describe the clinical manifestations. The disease with abdominal wall involvement and treated with empirical antibiotics administration only has yet to be reported.

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Section: Discussionmentioning

confidence: 99%

“…Bacterial culturing is thought to be diagnostic, which is positive only in 50% of cases [1,4,5]. The diagnosis is usually made postoperatively; it has been estimated that fewer than 20 percent of cases received a preoperative diagnosis [2,6].…”

Section: Introductionmentioning

confidence: 99%