Spagnuolo P J, Fransioli M
Am J Gastroenterol. 1981 Feb;75(2):144-7.
We describe pelvic and rectal actinomycosis in a patient with an intrauterine contraceptive device. The presentation was that of an indolent, noninfectious process which mimicked a pelvic malignancy. As in many cases of pelvic actinomycosis, the diagnosis was not suspected preoperatively. Moreover, suppurative disease progressed despite removal of the intrauterine device. In patients who have intrauterine contraceptive devices or who have had them removed recently, abdominal pain, recurrent vaginal bleeding or adnexal masses should prompt a diligent search for potentially pathogenic actinomyces in the genital tract.
我们描述了一名使用宫内节育器患者的盆腔和直肠放线菌病。其表现为一种类似盆腔恶性肿瘤的隐匿性、非感染性病程。与许多盆腔放线菌病病例一样，术前未怀疑该诊断。此外，尽管取出了宫内节育器，化脓性疾病仍在进展。对于使用宫内节育器或近期已取出宫内节育器的患者，腹痛、反复阴道出血或附件肿块应促使医生仔细检查生殖道中潜在的致病性放线菌。
