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Ultrasound-guided transvaginal aspiration in the management of actinomyces pelvic abscess
Authors:Anteby E Y  Rahav G  Hanoch J  Shimonovitz S  Yagel S  Laufer N
Affiliation:Department of Obstetrics and Gynecology Hadassah University Hospital MT. Scopus Jerusalem Israel.
Abstract:Background: Increasing reports of intrauterine device (IUD)-related abdominopelvic actinomycosis have been described recently. Surgical therapy has been the usual treatment when tubo-ovarian abscess is identified.Case: A 38-year-old woman suffering from Actinomyces pelvic abscess unresponsive to medical treatment underwent transvaginal ultrasound-guided needle aspiration. It resulted in marked improvement and avoided surgical treatment.Conclusion: Transvaginal needle aspiration of Actinomyces pelvic abscess may be an alternative to surgical therapy, thereby allowing the preservation of pelvic organs.
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