Fistula as a Complication of Pelvic Actinomycosis –⁠ Two Case Reports

Czech version

Authors: Š. Urbánek; L. Kliment ml.; Z. Holub
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Kladno, primář doc. MUDr. Z. Holub, CSc.
Published in: Ceska Gynekol 2005; 70(3): 238-240
Category: Original Article

Overview

Objective:
The presentation of two unusual cases of pelvic actinomycosis.

Subject:
Case reports.

Settings:
Department of Obstetrics and Gynecology, Hospital Kladno.

Subject and Method:
The observation of two cases of pelvic actinomycosis. These cases were complicated by the abdominal wall fistula in one case and vaginal fistula in the other.

Conclusion:
Actinomycosis is a chronic disease with tendency to progress per continuitatem into neighbouring tissues and with tendency to formation of fistulas. Two less common localisations of progress of the disease are described; it means the abdominal wall and vagina. In spite of a more advanced stadium, if adequately treated, a recovery ad integrum is common.

Key words:
pelvic actinomycosis, actinomyces, intrauterine device, fistula