Linked Life Data

10597067

Source:http://linkedlifedata.com/resource/pubmed/id/10597067

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1999-12-23
pubmed:abstractText
Pelvic actinomycosis associated with the use of intrauterine contraceptive devices (IUDs) can mimic pelvic malignancy. Recognizing this rare, but not uncommon complication of IUD use can spare a patient from an extensive surgical procedure. If recognized preoperatively, a simple regimen of antibiotics can be curative; however, if symptomatic, a limited surgical procedure is warranted. We present the case of a 55-year-old woman with a slow, indolent course of partial large bowel obstruction and a history of IUD use for over 20 years. A preoperative CT scan revealed a frozen pelvis mimicking a pelvic malignancy. Exploratory laparotomy revealed a firm, indurated, fibrotic reaction in the pelvis involving the uterus, adnexa, and sigmoid colon. A diverting loop colostomy was performed, and pathology revealed sulfur granules from the extracted IUD that grew Actinomyces. The patient was treated with the appropriate antibiotics, and during the takedown of the colostomy 6 months later the pelvic inflammation was completely resolved. An extensive review of the literature involving actinomycotic abscesses associated with IUD use reveals a limited number of studies reported in the general surgical literature. It behooves the general surgeon to be aware of this unusual case so that the appropriate consultation and treatment can be performed with limited morbidity to the patient.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0003-1348
pubmed:author
pubmed:issnType
Print
pubmed:volume
65
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1165-6
pubmed:dateRevised
2005-11-16
pubmed:meshHeading
pubmed-meshheading:10597067-Actinomycosis, pubmed-meshheading:10597067-Ampicillin, pubmed-meshheading:10597067-Anti-Bacterial Agents, pubmed-meshheading:10597067-Anti-Infective Agents, pubmed-meshheading:10597067-Colostomy, pubmed-meshheading:10597067-Diagnosis, Differential, pubmed-meshheading:10597067-Female, pubmed-meshheading:10597067-Humans, pubmed-meshheading:10597067-Intestinal Obstruction, pubmed-meshheading:10597067-Intrauterine Devices, pubmed-meshheading:10597067-Laparotomy, pubmed-meshheading:10597067-Metronidazole, pubmed-meshheading:10597067-Middle Aged, pubmed-meshheading:10597067-Pelvic Inflammatory Disease, pubmed-meshheading:10597067-Pelvic Neoplasms, pubmed-meshheading:10597067-Penicillins, pubmed-meshheading:10597067-Sigmoid Diseases, pubmed-meshheading:10597067-Sulbactam, pubmed-meshheading:10597067-Tomography, X-Ray Computed
pubmed:year
1999
pubmed:articleTitle
Large bowel obstruction due to intrauterine device: associated pelvic inflammatory disease.
pubmed:affiliation
Department of Surgery, St. Francis Medical Center, Trenton, New Jersey, USA.
pubmed:publicationType
Journal Article, Review, Case Reports