Document Type
Case Report
Department
Internal Medicine (East Africa); Obstetrics and Gynaecology (East Africa)
Abstract
Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report presents a case of peritoneal actinomycosis incidentally discovered during a total abdominal hysterectomy in a 44-year-old female with refractory abnormal uterine bleeding and a history of long-term intrauterine contraceptive device use. The patient presented with persistent abnormal uterine bleeding despite conservative management. Intraoperative findings during total abdominal hysterectomy revealed peritoneal involvement, prompting histopathological evaluation confirming actinomycosis. This case highlights diagnostic complexities associated with actinomycosis, emphasizing the significance of histopathological confirmation. Postoperative management with antibiotics demonstrated favorable outcomes, supporting their efficacy in treating actinomycosis. The case underscores the importance of considering uncommon infections in pelvic pathology, particularly in patients with prolonged intrauterine contraceptive device usage. It prompts further exploration of actinomycosis in relation to intrauterine contraceptive device use and highlights the need for timely intervention and histopathological confirmation for optimal patient care.
Publication (Name of Journal)
SAGE Open Medical Case Reports
DOI
https://doi.org/10.1177/2050313X2412483
Recommended Citation
Kyejo, W.,
Ismail, A.,
Kitua, A.,
Moshi, B.,
Ntiyakunze, G.,
Kaguta, M.,
Mwanga, A.
(2024). Incidental actinomycosis in a 44-year-old female during total abdominal hysterectomy for abnormal uterine bleeding: A case report. SAGE Open Medical Case Reports, 12, 1-4.
Available at:
https://ecommons.aku.edu/eastafrica_fhs_mc_intern_med/378
Creative Commons License
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