Pelvic actinomycosis infection

Case contributed by Dr Ammar Haouimi

Presentation

Patient had episiotomy during normal delivery 2 months ago. presented with infected necrotic wound, vaginal discharge and pelvic pain.

Patient Data

Age: 35 years
Gender: Female
MRI

The uterus is diffusely enlarged with multiple areas within the myometrium of iso-to high signal on T1WI, heterogeneous high signal on T2WI with heterogeneous enhancement mainly peripheral delineating the intramural abscesses. Note the extension of the infection to the anterior vaginal wall.

Minimal effusion is noted in Douglas pouch.

Case Discussion

Case of pelvic actinomycosis. Actinomyces spp (Actinomyces israelii in this case) were detected by the cytological examination as well as the bacteriological culture. 

 

Additional contributor: R. Bouguelaa, MD.

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Case information

rID: 73695
Published: 21st Jan 2020
Last edited: 31st Jan 2020
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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