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Case Reports
. 2021 Sep 21:32:e00359.
doi: 10.1016/j.crwh.2021.e00359. eCollection 2021 Oct.

Pelvic actinomycosis three years after colporrhaphy: A case report

Stephen Davick  1 , Samiksha Annira  2 , Tyler Schwiesow  1
Affiliations
Case Reports

Pelvic actinomycosis three years after colporrhaphy: A case report

Stephen Davick et al. Case Rep Womens Health. .

Abstract

A 57-year-old patient presented with vaginal discharge and was found to have a pelvic abscess with A. turicensis and Streptococcus constellatus, with likely nidus of infection being a non-absorbable suture placed during colporrhaphy three years prior. She was treated with drain placement and antibiotics. Post-hospitalization, her colporrhaphy suture was removed. Subsequently the drain output decreased and this was removed as well. She had a total course of 6 weeks of amoxicillin/clavulanate, with complete resolution of her abscess.

Keywords: Actinomyces; Colporrhaphy; Pelvic actinomycosis; Pelvic reconstructive surgery; Prolapse.

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Figures

Fig. 1
Fig. 1
Pelvic abscess on hospital day 0 CT scan.
Fig. 2
Fig. 2
Interventional radiologist-guided injection of contrast into abscess space showing resolution of abscess 50 days after initial presentation.
See this image and copyright information in PMC

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