Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report
Actinomycosis is a rare, chronic, and suppurative disease caused by Actinomyces species, which are filamentous, obligate, Gram-positive bacteria. This report presents a case of anterior abdominal actinomycosis in a 40-year-old female with a history of intrauterine contraceptive device placement. The...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-01-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231222222 |
| _version_ | 1797365310733418496 |
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| author | Shabih Ayesha Syeda Mahrukh Fatima Zaidi Ruqaiya Shahid Naveed Ali Khan Burhanuddin Sohail Rangwala |
| author_facet | Shabih Ayesha Syeda Mahrukh Fatima Zaidi Ruqaiya Shahid Naveed Ali Khan Burhanuddin Sohail Rangwala |
| author_sort | Shabih Ayesha |
| collection | DOAJ |
| description | Actinomycosis is a rare, chronic, and suppurative disease caused by Actinomyces species, which are filamentous, obligate, Gram-positive bacteria. This report presents a case of anterior abdominal actinomycosis in a 40-year-old female with a history of intrauterine contraceptive device placement. The patient presented with severe abdominal pain, an abdominal mass, low-grade fever, and weight loss. Imaging studies revealed thickening of the left rectus abdominis muscle and pericolic fat stranding. An exploratory laparotomy confirmed dense adhesions from the transverse colon and omentum to the abdominal wall with a purulent discharge. Resection of the affected colon segment and primary anastomosis were performed. Histopathological examination revealed characteristic colonies of Actinomyces within abscesses, confirming the diagnosis of actinomycosis. The patient received appropriate antibiotic therapy and showed improvement. This case highlights the rare occurrence of abdominal wall actinomycosis associated with an intrauterine contraceptive device and emphasizes the importance of considering actinomycosis in the differential diagnosis of abdominal pathologies. Thus, medical history related to intrauterine contraceptive device use should be regarded as in differentials if a patient presents vague abdominal mass and pain, and small details in history should be emphasized and looked upon so that a timely decision can be made for the betterment of the patient. |
| first_indexed | 2024-03-08T16:48:17Z |
| format | Article |
| id | doaj.art-b1aefa42251f46f29a757e5e231db816 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-08T16:48:17Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-b1aefa42251f46f29a757e5e231db8162024-01-05T08:04:05ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-01-011210.1177/2050313X231222222Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case reportShabih Ayesha0Syeda Mahrukh Fatima Zaidi1Ruqaiya Shahid2Naveed Ali Khan3Burhanuddin Sohail Rangwala4Department of Neurosurgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, PakistanDepartment of Neurosurgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, PakistanDepartment of Histopathology, Dow University Hospital, Karachi, PakistanDepartment of Surgery, Dow University Hospital, Karachi, PakistanDepartment of Medicine, Jinnah Sindh Medical University, Karachi, PakistanActinomycosis is a rare, chronic, and suppurative disease caused by Actinomyces species, which are filamentous, obligate, Gram-positive bacteria. This report presents a case of anterior abdominal actinomycosis in a 40-year-old female with a history of intrauterine contraceptive device placement. The patient presented with severe abdominal pain, an abdominal mass, low-grade fever, and weight loss. Imaging studies revealed thickening of the left rectus abdominis muscle and pericolic fat stranding. An exploratory laparotomy confirmed dense adhesions from the transverse colon and omentum to the abdominal wall with a purulent discharge. Resection of the affected colon segment and primary anastomosis were performed. Histopathological examination revealed characteristic colonies of Actinomyces within abscesses, confirming the diagnosis of actinomycosis. The patient received appropriate antibiotic therapy and showed improvement. This case highlights the rare occurrence of abdominal wall actinomycosis associated with an intrauterine contraceptive device and emphasizes the importance of considering actinomycosis in the differential diagnosis of abdominal pathologies. Thus, medical history related to intrauterine contraceptive device use should be regarded as in differentials if a patient presents vague abdominal mass and pain, and small details in history should be emphasized and looked upon so that a timely decision can be made for the betterment of the patient.https://doi.org/10.1177/2050313X231222222 |
| spellingShingle | Shabih Ayesha Syeda Mahrukh Fatima Zaidi Ruqaiya Shahid Naveed Ali Khan Burhanuddin Sohail Rangwala Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report SAGE Open Medical Case Reports |
| title | Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report |
| title_full | Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report |
| title_fullStr | Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report |
| title_full_unstemmed | Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report |
| title_short | Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: A case report |
| title_sort | exploring the link between long term intrauterine contraceptive device usage and abdominal actinomycosis in a middle aged female a case report |
| url | https://doi.org/10.1177/2050313X231222222 |
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