Endometrial actinomycosis: a treatable cause of postmenopausal bleeding

BMJ Case Reports 2026

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Authors: Akanksha Gupta, Sivalakshmi Ramu, Riya Bagdi, Ridhi Sood, Neena Malhotra
DOI: 10.1136/bcr-2024-263752
Cited by: 0
References: 10

Abstract

Postmenopausal bleeding (PMB) raises significant concern in women, as it may signal early uterine malignancy. Consequently, all episodes of PMB require thorough investigation. Approximately 60-80% of cases are linked to atrophic endometrium, with about 10% each attributable to endometrial hyperplasia and carcinoma. However, one case involved a woman with PMB, where no definitive cause was identified beyond a forgotten intrauterine contraceptive device. Further evaluation revealed a rare uterine infection as the underlying cause of the PMB.

Fields of Study & Subjects

Actinomycetales infections and treatment Gynecological conditions and treatments Uterine Myomas and Treatments

Publication details

Journal / source
BMJ Case Reports
Volume
19
Issue
2
Pages
e263752–e263752
Publication date
1 February 2026
Language
EN