Actinomycose pelvienne : aspects diagnostiques et thérapeutiques

Conclusion Le diagnostic d’actinomycose doit être évoqué devant toute masse abdominale invasive d’apparence néoplasique et en cas de tableau clinique d’infection génitale surtout chez les patientes porteuses d’un DIU depuis 5ans ou plus. Objectives Actinomycosis is a rare little known granulomatous suppurative disease, more common in women, aided by the use of contraceptive purposes intrauterine device (IUD). Pelvic location is the rarest with an extension to adjacent organs making preoperative diagnosis difficult and misleading clinical presentation. Early diagnosis of this affection determines the therapeutic strategy and avoids mutilating interventions especially in young women. Methods We reviewed the record of women who consulted the department of obstetrics and gynecology at Ben Arous hospital (Tunisia) between January 2003 and December 2013 for a pelvic pain syndrome and in whom diagnosis of actinomycosis was suspected by clinical and imaging and confirmed by pathology. Results Eight cases of gynecologic abdominopelvic actinomycosis were diagnosed during the study period. Seven patients were carriers of an intrauterine device, with an average duration of 5years wearing. Functional signs were essentially pelvic pain and fever. Physical examination of patients mainly showed two clinical presentations: a pelvic tumor syndrome or abdominopelvic and an array of pelvic abscess or pelvic inflammatory disease. Radiological investigations were allowed to susp...

Source: Gynecologie Obstetrique and Fertilite - February 6, 2016 Category: OBGYN Source Type: research