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Case Reports in Obstetrics and Gynecology
Volume 2017 (2017), Article ID 2907135, 3 pages
https://doi.org/10.1155/2017/2907135
Case Report

Can Surgery Be Avoided? Exclusive Antibiotic Treatment for Pelvic Actinomycosis

1Department of Obstetrics and Gynecology, University of Missouri Kansas City, Kansas City, MO, USA
2University of Missouri Kansas City School of Medicine, Kansas City, MO, USA

Correspondence should be addressed to M. P. Ruiz; ude.ckmu@pmziur

Received 25 December 2016; Accepted 29 January 2017; Published 16 February 2017

Academic Editor: A. O. Awonuga

Copyright © 2017 M. P. Ruiz 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

Pelvic actinomycosis is an uncommon, slowly progressing granulomatous infection that has been associated with the presence of intrauterine devices. Due to its unspecific clinical and radiologic findings, it can mimic pelvic or intra-abdominal malignancy leading to mutilating surgery of high morbidity. Rarely, diagnosis is made preoperatively and in most cases surgical intervention is necessary. The patient in our case is a 42-year-old female with an IUD for 15 years diagnosed with pelvic actinomycosis. Patient was uniquely diagnosed preoperatively through paracentesis and treated conservatively with prolonged antibiotic therapy and without any type of surgical intervention. Follow-up at 1 year showed almost complete radiologic resolution of the inflammatory mass, nutritional recovery, and absence of symptoms. Pelvic actinomycosis can be successfully diagnosed and treated medically without surgical interventions.