Abdominal actinomycosis following small intestinal perforation in an umbilical hernia. A case report and review of literature.
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Papanicolaou-stained cervicovaginal smears from 478 women with intrauterine contraceptive devices (IUDs) in place were reviewed for the presence of Actinomyces colonies. The overall infection rate was 12.6%. Plastic IUDs had a significantly higher infection rate than that of Copper 7 IUDs. The infection rate was found to increase with the duration of use of IUDs. The presence or absence of Actinomyces was not related to age, race, parity, previous abortions, or financial status of the patients.
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Pelvic actinomyces, usually a complication of an intrauterine device (IUD), is uncommon and may present a diagnostic dilemma because of an atypical clinical presentation. We present a patient with a cervical tumor, extensive parametrial induration with involvement of the posterior bladder wall, and regional lymph nodes which mimicked advanced cervical cancer and presented a significant diagnostic problem.
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