- chronic polymicrobial inflammatory mass that can mimic pelvic malignancy.
- It usually occurs after prolonged intrauterine contraceptive device (IUD) use.
- Symptoms of pelvic actinomycosis are nonspecific and include pelvic pain, abnormal cervical discharge, abnormal bleeding (either intermenstrual or postcoital) and weight loss.
- Rx: amoxicillin plus metronidazole (remove IUD)
- Antibiotic therapy for at least 6 months and removal of the intrauterine contraceptive device can lead to complete resolution, but surgical intervention may also be necessar
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