Korean J Obstet Gynecol.  2009 Dec;52(12):1344-1349.

A case of pelvic actinomyosis presenting as an advanced ovarian malignancy

Affiliations
  • 1Department of Obstetrics and Gynecology, Hallym University Medical School, Anyang, Korea. drparkyh@yahoo.co.kr
  • 2Department of Pathology, Hallym University Medical School, Anyang, Korea.

Abstract

Pelvic actinomycosis is an infrequent chronic suppurative granulomatous disease, caused by a gram-positive bands Actinomyces israelii. It is often reported as a complicated case of an intrauterine device (IUD). Ureteral obstruction and subsequent hydronephrosis are rare complications of pelvic inflammatory disease. Sometimes pelvic actinomyosis is simulating ovarian malignancy. We report a case combined with hydronephrosis, multiple pelvic lymph nodes enlargements and elevated CA 125 as complications of pelvic actinomycosis.

Keyword

Actinomyosis; Hydronephrosis; Lymph node enlargement; Malignancy

MeSH Terms

Actinomyces
Actinomycosis
Female
Hydronephrosis
Intrauterine Devices
Lymph Nodes
Pelvic Inflammatory Disease
Ureteral Obstruction
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