Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especi...

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Bibliographic Details
Published in:	Journal of infection in developing countries Vol. 7; no. 12; pp. 1012 - 1015
Main Authors:	Desteli, Güldeniz Aksan, Gürsu, Tvrkan, Bircan, Hüseyin Yüce, Kızılkılıç, Ebru, Demiralay, Ebru, Timurkaynak, Funda
Format:	Journal Article
Language:	English
Published:	Italy Journal of Infection in Developing Countries 15-12-2013
Subjects:	Actinomycosis - complications Actinomycosis - diagnosis Actinomycosis - microbiology Actinomycosis - pathology Case reports Developing countries Female Humans Intestinal Perforation - diagnosis Intestinal Perforation - etiology Intestinal Perforation - pathology Intrauterine devices Intrauterine Devices - adverse effects IUD LDCs Middle Aged Pelvic Inflammatory Disease - complications Pelvic Inflammatory Disease - diagnosis Pelvic Inflammatory Disease - microbiology Pelvic Inflammatory Disease - pathology Peritonitis - complications Peritonitis - diagnosis Peritonitis - microbiology Peritonitis - pathology Small intestine Thrombocytosis - diagnosis Thrombocytosis - etiology Thrombocytosis - pathology
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Summary:	Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop. Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1972-2680 2036-6590 1972-2680
DOI:	10.3855/jidc.2837