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Pelvic actinomycosis with colo-ileo-vesical fistula formation: report of a case.
J Formos Med Assoc. 1992 Mar; 91(3):342-5.JF

Abstract

Pelvic actinomycosis with multiple fistular formation is rarely reported in the literature. We herein present a case of pelvic actinomycosis with sigmoid colo-ileovesical fistulae in a 36-year-old intrauterine device (IUD) user. She was admitted to the hospital because of general malaise, weight loss and bilateral palpable adnexal masses. Sonography showed bilateral adnexal masses which contained many echolucent spots. A barium enema examination revealed sigmoid colo-ileo-vesical fistulae. A computed tomographic scan showed bilateral cystic adnexal masses, bilateral hydronephrosis and hydroureter. Preoperatively, pelvic malignancy was suspected. An exploratory laparotomy was performed. Bilateral tubo-ovarian abscesses with extensive adhesions were found. Pathologic examination of the operative specimen revealed pelvic actinomycosis. The patient was treated with penicillin for 14 weeks and had a stable clinical course.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taiwan, R.O.C.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1354699

Citation

Chang, C H., et al. "Pelvic Actinomycosis With Colo-ileo-vesical Fistula Formation: Report of a Case." Journal of the Formosan Medical Association = Taiwan Yi Zhi, vol. 91, no. 3, 1992, pp. 342-5.
Chang CH, Chou CY, Lee WI, et al. Pelvic actinomycosis with colo-ileo-vesical fistula formation: report of a case. J Formos Med Assoc. 1992;91(3):342-5.
Chang, C. H., Chou, C. Y., Lee, W. I., Tzeng, C. C., & Liu, C. H. (1992). Pelvic actinomycosis with colo-ileo-vesical fistula formation: report of a case. Journal of the Formosan Medical Association = Taiwan Yi Zhi, 91(3), 342-5.
Chang CH, et al. Pelvic Actinomycosis With Colo-ileo-vesical Fistula Formation: Report of a Case. J Formos Med Assoc. 1992;91(3):342-5. PubMed PMID: 1354699.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic actinomycosis with colo-ileo-vesical fistula formation: report of a case. AU - Chang,C H, AU - Chou,C Y, AU - Lee,W I, AU - Tzeng,C C, AU - Liu,C H, PY - 1992/3/1/pubmed PY - 1992/3/1/medline PY - 1992/3/1/entrez SP - 342 EP - 5 JF - Journal of the Formosan Medical Association = Taiwan yi zhi JO - J. Formos. Med. Assoc. VL - 91 IS - 3 N2 - Pelvic actinomycosis with multiple fistular formation is rarely reported in the literature. We herein present a case of pelvic actinomycosis with sigmoid colo-ileovesical fistulae in a 36-year-old intrauterine device (IUD) user. She was admitted to the hospital because of general malaise, weight loss and bilateral palpable adnexal masses. Sonography showed bilateral adnexal masses which contained many echolucent spots. A barium enema examination revealed sigmoid colo-ileo-vesical fistulae. A computed tomographic scan showed bilateral cystic adnexal masses, bilateral hydronephrosis and hydroureter. Preoperatively, pelvic malignancy was suspected. An exploratory laparotomy was performed. Bilateral tubo-ovarian abscesses with extensive adhesions were found. Pathologic examination of the operative specimen revealed pelvic actinomycosis. The patient was treated with penicillin for 14 weeks and had a stable clinical course. SN - 0929-6646 UR - https://www.unboundmedicine.com/medline/citation/1354699/Pelvic_actinomycosis_with_colo_ileo_vesical_fistula_formation:_report_of_a_case_ L2 - http://www.diseaseinfosearch.org/result/414 DB - PRIME DP - Unbound Medicine ER -