一名佩戴宫内节育器女性的临床隐匿性输卵管卵巢放线菌病。病例报告。
Clinically inapparent tuboovarian actinomycosis in a woman with an IUD. A case report.
作者信息
Dehal S A, Kaplan M A, Brown R, Robinson T M, Chatwani A
机构信息
Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
出版信息
J Reprod Med. 1998 Jul;43(7):595-7.
BACKGROUND
The consequences and management of asymptomatic Actinomyces-like organisms detected on cervical cytologic smears continue to be controversial.
CASE
A unilateral tuboovarian actinomycotic abscess was discovered in a woman who had undergone a hysterectomy for uterine leiomyomas. She had had an intrauterine device in place for many years without any symptoms of pelvic inflammatory disease.
CONCLUSION
Ascending infection of the upper genital tract by Actinomyces may be clinically inapparent. When Actinomyces-like organisms aer detected on cervical cytologic smears, removal of an intrauterine device should be considered.
背景
宫颈细胞学涂片检测到无症状放线菌样微生物的后果及处理仍存在争议。
病例
一名因子宫平滑肌瘤接受子宫切除术的女性被发现单侧输卵管卵巢放线菌性脓肿。她已放置宫内节育器多年，无任何盆腔炎症状。
结论
放线菌上行感染上生殖道在临床上可能不明显。当宫颈细胞学涂片检测到放线菌样微生物时，应考虑取出宫内节育器。
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