Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

Authors

  • Guldeniz Aksan Desteli Başkent University Faculty of Medicine, İstanbul, Turkey
  • Turkan Gursu Başkent University Faculty of Medicine, İstanbul, Turkey
  • Hüseyin Yüce Bircan Başkent University Faculty of Medicine, İstanbul, Turkey
  • Ebru Kızılkılıç Başkent University Faculty of Medicine, İstanbul, Turkey
  • Ebru Demiralay Başkent University Faculty of Medicine, İstanbul, Turkey
  • Funda Timurkaynak Başkent University Faculty of Medicine, İstanbul, Turkey

DOI:

https://doi.org/10.3855/jidc.2837

Keywords:

abdominopelvic actinomycosis, intrauterine device, small bowel perforation, thrombocytosis

Abstract

Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop.

Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation.

Author Biographies

Guldeniz Aksan Desteli, Başkent University Faculty of Medicine, İstanbul, Turkey

Assistant Professor, M.D.

Department of  Obstetrics and Gynecology,

Turkan Gursu, Başkent University Faculty of Medicine, İstanbul, Turkey

Medical Doctor,

Department of  Obstetrics and Gynecology,

Hüseyin Yüce Bircan, Başkent University Faculty of Medicine, İstanbul, Turkey

Medical Doctor,

Department of General Surgery

Ebru Kızılkılıç, Başkent University Faculty of Medicine, İstanbul, Turkey

Medical Doctor,

Department of Haematology

Ebru Demiralay, Başkent University Faculty of Medicine, İstanbul, Turkey

Medical Doctor,

Department of Pathology

Funda Timurkaynak, Başkent University Faculty of Medicine, İstanbul, Turkey

Professor, M.D.

Department of Infectious Disease

 

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Published

2013-12-15

How to Cite

1.
Desteli GA, Gursu T, Bircan HY, Kızılkılıç E, Demiralay E, Timurkaynak F (2013) Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis. J Infect Dev Ctries 7:1012–1015. doi: 10.3855/jidc.2837

Issue

Section

Case Reports