Short communication, Note
The Case of Asymptomatic Primary Actinomycosis of the Greater Omentum in the Patient with Intrauterine Contraceptive Device
Miodrag Milojković
Milanka Mrčela
Mirjana Rubin
Marija Pajtler
Abstract
This paper describes a case of asymptomatic multifocal actinomycosis of the greater omentum which was detected accidentally
in a patient who was suspected of uterus myoma. The patient was a 40 year old woman who had a copper
intrauterine contraceptive device (IUCD) for three years. After the gynecological examination and pelvic ultrasound she
was diagnosed with sub serous myoma of uterus. Since she did not give a birth it was suggested to have myoma enucleating.
However during the surgery a dermoid teratoma of the right ovary was detected so it was removed together with tumor
and there were two thickenings on the greater omentum, suspicious of inflammation, whereas one grew together
with the front abdominal wall. Due to these conditions, she had partial omentectomy done and omentum was sent for
path histological examination. The path histological examination confirmed it to be actinomycosis. The patient had an
intensive antibiotic therapy prescribed (Penicillin) in order to prevent a disease relapse because we could not be sure
whether the remaining part of omentum was affected by microscopic actinomycosis.
Keywords
actinomycosis; greater omentum; intrauterine contraceptive device; dermoid cyst
Hrčak ID:
26986
URI
Publication date:
3.12.2007.
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