title: Pelvicobdominal actinomycosis associated with an intrauterine contraceptive device. A case of liver dissemination mimicking metastatic ovarian cancer.
abstract: 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.
authors.affiliation: Department of Medicine-Division of Infectious and Tropical Diseases, University of South Florida College of Medicine, Tampa 36612.
authors.forename: R L
authors.initials: RL
authors.lastname: Sandin
authors.forename: J N
authors.initials: JN
authors.lastname: Greene
authors.forename: J S
authors.initials: JS
authors.lastname: Sarzier
authors.forename: I
authors.initials: I
authors.lastname: Himelright
authors.forename: N N
authors.initials: NN
authors.lastname: Ku
authors.forename: J F
authors.initials: JF
authors.lastname: Toney
authors.forename: W
authors.initials: W
authors.lastname: Roberts
mesh_terms: 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