Fig. 25
From: Identifying the deceiver: the non-neoplastic mimickers of genital system neoplasms
Pelvic actinomycosis. A 32-year-old woman with intrauterine contraceptive device now presenting with diffuse abdominal pain and serous vaginal discharge. a Coronally reformatted post contrast CT image shows the IUD (arrow). Pelvic fat planes are obliterated. b Coronally reformatted postcontrast CT image reveals bilateral severe hydroureteronephrosis (asterisks). Endometrial biopsy showed actinomycotic bacteria on both Gram and silver stains