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Intrauterine contraceptive device‐related actinomycosis infection presenting as an incarcerated inguinal hernia
Author(s) -
Dharmadhikari Deepali,
Dharmadhikari Rahul,
Macdonald John,
Beukenholdt Remko
Publication year - 2007
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00576.x
Subject(s) - medicine , pyometra , groin , inguinal hernia , laparotomy , intrauterine device , actinomyces , surgery , general surgery , hernia , family planning , research methodology , population , uterus , environmental health , biology , bacteria , genetics
We report an unusual case of an intrauterine contraceptive device (IUCD)‐related pelvic actinomyces infection presenting as an incarcerated inguinal hernia. An emergency laparotomy showed the presence of pyometra with large abscesses, involving both fallopian tubes and the right ovary with pyometra tracking down the left psoas into the groin, giving a clinical and radiological appearance of an incarcerated hernia. Subsequent results obtained from investigations showed the presence of actinomyces‐like organisms on the patient's smear related to an IUCD.