PMC5436921_01
Abdominopelvic CT showing diffuse thickening of the bowel loops' wall, multiple thick fluid collections (asterisk) and IUD (black arrow). A, B - axial plane; C - sagittal plane; and D - coronal plane.
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Photomicrography of the surgical specimen. A - Acute salpingitis with ulceration and pus filling the lumen (H&E, 100X). Additionally, there were transmural inflammatory infiltrate and abscess formation in the fallopian tube; B - Basophilic granules of Actinomyces sp. which are enveloped by the purulent exudate (H&E, 200X). The inset shows a positive granule highlighted by Grocott's methenamine silver stain (200X).
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Actinomyces sp. (Figure 2). Ampicillin was added to the antibiotic regimen and the patient's clinical condition improved substantially.