[How is agonizing leg pain associated with an intrauterine device?]

Abstract

We report on a typical clinical course of pelvic actinomycosis: initial uncharacteristic discomfort develops into a systemic illness associated with a pelvic mass, which progresses so fast that along with the systemic infection further symptoms can be reduced to its growth rate--tiredness, abdominal pain, micturition deficiency, and leg pain. Distinction between malignancy and pelvic actinomycosis could be made only intraoperative. After hysterectomy and with antibiotics the patient recovered quickly.

Keywords: Aktinomykose; Bauchschmerz; Differenzialdiagnose; Spirale; Tumor; abdominal pain; actinomycosis; differential diagnosis; intrauterine device; tumor.