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Diagnostics 2015, 5(3), 369-371; doi:10.3390/diagnostics5030369

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

1
Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, 1165 Copenhagen, Denmark
2
Juliane Marie Centre for Children, Women and Reproduction (JMC) Rigshospitalet, Copenhagen University Hospital, 1165 Copenhagen, Denmark, Denmark
*
Author to whom correspondence should be addressed.
Academic Editor: Gary Cook
Received: 29 July 2015 / Revised: 19 August 2015 / Accepted: 20 August 2015 / Published: 28 August 2015
(This article belongs to the Collection Hybrid Imaging in Medicine)
View Full-Text   |   Download PDF [1092 KB, uploaded 28 August 2015]   |  

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. View Full-Text
Keywords: FDG, PET/CT; intrauterine device; actinomycosis; frozen pelvis FDG, PET/CT; intrauterine device; actinomycosis; frozen pelvis
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Dejanović, D.; Ahnlide, J.A.; Nilsson, C.; Berthelsen, A.K.; Loft, A. Pelvic Actinomycosis Associated with an Intrauterine Contraceptive Device Demonstrated on F-18 FDG PET/CT. Diagnostics 2015, 5, 369-371.

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