Mejía Salazar Yelenys Reyna, Hernández González Mercedes, Martínez Reyes Zócimo, Carrera Rivapalacio Alfonso
División de ginecología y obstetricia, Hospital General de Atizapán, Instituto de Salud del Estado de México.
Ginecol Obstet Mex. 2004 Apr;72:162-5.
Tuboovaric actinomycosis case report.
eighteen-year-old woman using intrauterine devise for the past two years and with a four months old appendicectomy. Initially, a two month old pelvic tumor with acute abdominal pain and fever was identified. A laparotomy was performed with total pelvic tumor section. A week later, postoperatory colonskin fistula appeared requiring surgery. The histopathology report showed tuboovaric actinomycosis. Therefore, sodic penicillin was used to treat the patient until health was recovered.
Actinomycosis is characterized by late diagnosis and must be suspected in patients with pelvic tumor exeresis with nonsatisfactory evolution, where intestinal surgery and IUD use are risk factors.