A case of pelvic actinomycosis mistaken for advanced ovarian cancer.

Yang, Jung Sun; Jeong, Yun Hee; Kang, Yun Dan; Kim, Jong Soo; Park, Jin Wan

doi:2011.54.4.210

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(4):210-213.
DOI: https://doi.org/10.5468/KJOG.2011.54.4.210 Published online April 1, 2011.

A case of pelvic actinomycosis mistaken for advanced ovarian cancer.

Jung Sun Yang, Yun Hee Jeong, Yun Dan Kang, Jong Soo Kim, Jin Wan Park

Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea. soo8541@hanmail.net

Abstract

Actinomycosis is a normal inhabitant of the mouth and gastrointestinal tract. Pelvic actinomycosis is a rare disease that can result in abscess formation, bowel obstruction, and other serious complications. Diagnosis can seldom be established before radical surgery because the disease often mimics pelvic neoplasms and depends on anaerobic culture or histologic identification of the organism. It has been recently recognized that pelvic actinomycosis is associated with long-term use of an intrauterine contraceptive device. But we had experienced a case of pelvic actinomycosis mimicking ovarian malignancy with a right hydronephrosis and lymph node enlargement in aortocarval and left paraaortic area in woman who did not use intra-uterine device.

Key Words: Pelvic actinomycosis