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Case Report

Case Report of Pelvic Actinomycosis Presenting as a Complex Pelvic Mass

Pandian Radha*, Amy Forsberg Condon and Timothy Lim Yong Kuei
K K Women’s & Children’s Hospital, 100 Bukit Timah Road, Singapore
Corresponding Author : Pandian Radha
K K Women’s & Children’s Hospital
100 Bukit Timah Road, Singapore
Tel: 65 6394-1067
Fax: 65 6298- 6343
E-mail: radhahk@gmail.com
Received September 06, 2014; Accepted December 12, 2014; Published December 17, 2014
Citation: Radha P, Condon AF, Yong Kuei TL (2015) Case Report of Pelvic Actinomycosis Presenting as a Complex Pelvic Mass. J Preg Child Health 2:125. doi: 10.4172/2376-127X.1000125
Copyright: © 2015 Radha P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Pelvic actinomycosis is a chronic granulomatous infection caused by Gram- positive anaerobic bacteria, Actinomycosis israeli, which constitutes 3% of actinomycosis infections. Pelvic actinomycosis is insidious in onset, often presenting as a firm mass that appears fixed to the surrounding tissues, mimicking malignancy. It is also mistaken for other conditions such as diverticulosis and inflammatory bowel disease, which presents a diagnostic challenge pre-operatively. It has been recognized that pelvic actinomycosis is associated with long term use of an intrauterine contraceptive device (IUCD). Here we present a case which initially presented as a complex pelvic mass concerning for malignancy and was diagnosed as pelvic actinomycosis post-operatively on histopathology.

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