Abdominopelvic actinomycosis accounts for about 20% of cases.
Predisposing factors include:
Patients may present with non specific symptoms such as fever, weight loss, and abdominal pain.
Spread may occur via the portal vein producing a portal pyaemia, the liver being riddled with abscess cavities. Spread to all abdominal viscera may occur.
Although pelvic actinomycosis is predominantly associated with IUCD, abdominal disease spreading to the pelvic may result in pelvic actinomycosis (1).
Reference:
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