{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T07:03:03Z","timestamp":1767682983790,"version":"3.48.0"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report presents a case of peritoneal actinomycosis incidentally discovered during a total abdominal hysterectomy in a 44-year-old female with refractory abnormal uterine bleeding and a history of long-term intrauterine contraceptive device use. The patient presented with persistent abnormal uterine bleeding despite conservative management. Intraoperative findings during total abdominal hysterectomy revealed peritoneal involvement, prompting histopathological evaluation confirming actinomycosis. This case highlights diagnostic complexities associated with actinomycosis, emphasizing the significance of histopathological confirmation. Postoperative management with antibiotics demonstrated favorable outcomes, supporting their efficacy in treating actinomycosis. The case underscores the importance of considering uncommon infections in pelvic pathology, particularly in patients with prolonged intrauterine contraceptive device usage. It prompts further exploration of actinomycosis in relation to intrauterine contraceptive device use and highlights the need for timely intervention and histopathological confirmation for optimal patient care.<\/jats:p>","DOI":"10.1177\/2050313x241248389","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T05:24:00Z","timestamp":1713763440000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidental actinomycosis in a 44-year-old female during total abdominal hysterectomy for abnormal uterine bleeding: A case report"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8251-8660","authenticated-orcid":false,"given":"Willbroad","family":"Kyejo","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Aga Khan University, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyzain","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abduel","family":"Kitua","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda","family":"Moshi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6326-8434","authenticated-orcid":false,"given":"Gregory","family":"Ntiyakunze","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munawar","family":"Kaguta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ally","family":"Mwanga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan Hospital, Dar Es Salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"183","article-title":"Actinomycosis: etiology, clinical features, diagnosis, treatment, and management","volume":"7","author":"Valour F","year":"2014","unstructured":"Valour F, Senechal A, Dupieux C, et al. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist 2014; 7: 183\u2013197.","journal-title":"Infect Drug Resist"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","DOI":"10.1016\/j.contraception.2007.01.006","article-title":"IUDs and colonization or infection with actinomyces","volume":"75","author":"Westhoff C","year":"2007","unstructured":"Westhoff C. IUDs and colonization or infection with actinomyces. Contraception 2007; 75(6 Suppl): S48\u2013S50.","journal-title":"Contraception"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00350-9"},{"key":"e_1_3_3_5_2","first-page":"174550572311810","article-title":"Pseudo tumor pelvic actinomycosis revealed by colonic obstruction with hydronephrosis: can extensive surgery be avoided? A case report","volume":"19","author":"Mansouri H","year":"2023","unstructured":"Mansouri H, Zemni I, Souissi M, et al. Pseudo tumor pelvic actinomycosis revealed by colonic obstruction with hydronephrosis: can extensive surgery be avoided? A case report. Womens Health (Lond) 2023; 19: 17455057231181009.","journal-title":"Womens Health (Lond)"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/340109"},{"key":"e_1_3_3_7_2","article-title":"Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: a case report","volume":"12","author":"Ayesha S","year":"2024","unstructured":"Ayesha S, Zaidi SMF, Shahid R, et al. Exploring the link between long-term intrauterine contraceptive device usage and abdominal actinomycosis in a middle-aged female: a case report. SAGE Open Med Case Rep 2024; 12: 2050313X231222222.","journal-title":"SAGE Open Med Case Rep"},{"key":"e_1_3_3_8_2","first-page":"312","volume-title":"Medical Microbiology","author":"Murray P","year":"2016","unstructured":"Murray P, Rosenthal K, Pfaller M. 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