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Retroperitoneal Fibrosis Secondary to Actinomycosis With No Intrauterine Device

Michael R. Milam, MD^*, Stephen J. Schultenover, MD, Marta Crispens, MD^* and Lynn Parker, MD^*

Departments of *Obstetrics and Gynecology and Pathology, Vanderbilt University Medical Center, Nashville, Tennessee

Address reprint requests to: Lynn P. Parker, MD, 7506 Clipping Cross Road, Louisville, KY 40241; e-mail: lynn.parker{at}vanderbilt.edu.

BACKGROUND: Actinomycotic pelvic infection usually occurs in the presence of an intrauterine device. It can result in pelvic inflammatory disease, tubo-ovarian abscess, and retroperitoneal fibrosis.

CASE: A 35-year-old multipara who had never used an intrauterine device presented with a 5-month history of progressively worsening, colicky, right-sided abdominal pain, dysuria, weight loss, and constipation. She was found to have retroperitoneal fibrosis. The diagnosis of actinomycotic pelvic infection was made at laparotomy.

CONCLUSION: Actinomycosis may be considered in the differential diagnosis of women with retroperitoneal fibrosis, even when there is no history of an intrauterine device.

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				J. F. Peipert Actinomyces: Normal Flora or Pathogen? Obstet. Gynecol., November 1, 2004; 104(5): 1132 - 1133. [Full Text] [PDF]