Pelvicobdominal actinomycosis associated with an intrauterine contraceptive device. A case of liver dissemination mimicking metastatic ovarian cancer.
A rare case of pelvicoabdominal actinomycosis with liver dissemination is reported in a patient with an intrauterine contraceptive device (IUCD) in place for 10 years. Her initial preoperative diagnosis of metastatic ovarian cancer emphasizes the slow indolent destructive nature of actinomycosis mimicking a malignancy. A history of an indwelling IUCD for several years along with a pelvic mass should prompt consideration of actinomycosis as a possible etiology.
Sandin
R L
RL
Department of Medicine-Division of Infectious and Tropical Diseases, University of South Florida College of Medicine, Tampa 36612.
Greene
J N
JN
Sarzier
J S
JS
Himelright
I
I
Ku
N N
NN
Toney
J F
JF
Roberts
W
W
D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007434:Intrauterine Devices / Q000009:adverse effects*; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D010388:Pelvis / Q000601:surgery; D014057:Tomography, X-Ray Computed