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Zangoii M, Naseh N, Zardast M. Pelvic actinomycosis: a case report. Journals of Birjand University of Medical Sciences 2004; 11 (4) :9-15
URL: http://journal.bums.ac.ir/article-1-13-en.html

Pelvic actinomycosis is an uncommon chronic granulomatous disease that is caused by actinomycosis Israeli. The most risk factor is long-term use of IUD. In this article we dealt with a 42 year old woman, who referred to the hospital with a history of intrauterine device (IUD) use for 15 years, having nonspecific lower abdominal pain, low grade fever, and occasional chills for 2 months, On pelvic examination a mass was found. Clinical findings, sonogrphy, CT scan and barium enema strongly suggested a pelvic malignancy. After laparatomy and histological examination, pelvic actinomycosis was diagnosed. The patient was given penicillin, for a long term. In patients with abdominopelvic pain, pelvic mass and adhesion, specially long-term IUD using, actinomycosis is probable; and by using secretions culture, pap smear, sonography and CT scan diagnosis is promoted before surgery to avoid an unnecessary action.