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Case Reports in Medicine
Volume 2010 (2010), Article ID 340109, 4 pages
http://dx.doi.org/10.1155/2010/340109
Case Report

Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

1Department of General Surgery, Istanbul University, Cerrahpasa Medical School, Genel Cerrahi Anabilim Dali, Postal code 34098, Cerrahpasa, Fatih, Istanbul, Turkey
2Department of Pathology, Istanbul University, Cerrahpasa Medical School, Patoloji Anabilim Dali, Postal code 34098, Cerrahpasa, Fatih, Istanbul, Turkey

Received 10 May 2010; Accepted 16 July 2010

Academic Editor: Tobias Keck

Copyright © 2010 Sinan Carkman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.