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  • Title: Retroperitoneal fibrosis secondary to actinomycosis with no intrauterine device.
    Author: Milam MR, Schultenover SJ, Crispens M, Parker L.
    Journal: Obstet Gynecol; 2004 Nov; 104(5 Pt 2):1134-6. PubMed ID: 15516426.
    Abstract:
    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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