CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 4  |  Page : 468-471

Bilateral ovarian actinomycosis masquerading as ovarian malignancy; without any history of intra-uterine contraceptive device


Department of Pathology, SRL Diagnostics – KCDC, Mysore, Karnataka, India

Correspondence Address:
Anitha Basavaraj Chalageri
Department of Pathology, SRL Diagnostics - KCDC, L 25/2A, Irwin Road, Mysore - 570 001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.118295

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Actinomycosis in the pelvic region is an uncommon diagnosis. This infection is caused by Actinomyces israelii, a gram-positive anaerobic saprophyte bacterium that is a normal inhabitant of the upper intestinal tract in humans. Pelvic actinomycosis is difficult to diagnose pre-operatively and is diagnosed, in most cases, accidentally. Actinomycosis can mimic pelvic and abdominal malignancies. A case report of a 35-year-old female patient with a fixed pelvic mass is presented. Despite the broad use of tumor markers, sonography and computerized tomography, the differentiation between benign and malignant pelvic masses is still a clinical challenge. Accurate differential diagnosis is necessary because the treatment strategies vary greatly. A case of actinomycotic inflammatory disease, which was misdiagnosed as an advanced ovarian cancer, is reported.


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