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Pelvic Actinomycosis Associated with an Intrauterine Contraceptive Device Demonstrated on F-18 FDG PET/CT.

Authors
  • Dejanović, Danijela1
  • Ahnlide, Jan Anders2
  • Nilsson, Cecilia3
  • Berthelsen, Anne Kiil4
  • Loft, Annika5
  • 1 Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. [email protected] , (Denmark)
  • 2 Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. [email protected] , (Denmark)
  • 3 Juliane Marie Centre for Children, Women and Reproduction (JMC) Rigshospitalet, Copenhagen University Hospital, 1165 Copenhagen, Denmark, Denmark. [email protected] , (Denmark)
  • 4 Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. [email protected] , (Denmark)
  • 5 Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark. [email protected] , (Denmark)
Type
Published Article
Journal
Diagnostics
Publisher
MDPI AG
Publication Date
Aug 28, 2015
Volume
5
Issue
3
Pages
369–371
Identifiers
DOI: 10.3390/diagnostics5030369
PMID: 26854159
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

A 44-year-old woman with a history of dysmenorrhea, obstipation, and low back pain was investigated for gynecological disorder. Physical examination indicated a "frozen pelvis". Ultrasound examination revealed the ovaries adherent to the uterus, bilateral ovarian cysts, and an intrauterine contraceptive device in situ, which reportedly had been in place for 19 years. Prior to a scheduled laparoscopy, the patient returned with oedema of the lower abdomen and legs, fatigue, and weight loss. Laboratory findings included elevated CA-125, anemia, leucocytosis and high C-reactive protein. Pelvic actinomycosis was subsequently diagnosed. We report the PET/CT appearance of this condition.

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