title: Bilateral tubo-ovarian actinomycosis in the presence of an intrauterine device: a case report.
abstract: An uncommon case of actinomycosis found in bilateral tubo-ovarian abscess is presented. Preoperatively, bilateral ovarian tumors were initially suspected by pelvic examination and ultrasonography. The patient received total abdominal hysterectomy and bilateral salpingo-oophorectomy. The initial pathology frozen section report showed abscess without evidence of malignancy. The final pathological finding revealed actinomycosis in bilateral tubo-ovarian abscess. In addition, an intrauterine contraceptive device, Copper-T, was found in the uterine cavity. The radiologic findings, gross pathological feature, histopathological pictures and treatment of pelvic actinomycosis are discussed, with review of the literature in English.
authors.affiliation: Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
authors.forename: B C
authors.initials: BC
authors.lastname: Chang
authors.forename: H S
authors.initials: HS
authors.lastname: Lee
authors.forename: S M
authors.initials: SM
authors.lastname: Liou
authors.forename: J Y
authors.initials: JY
authors.lastname: Liu
authors.forename: W H
authors.initials: WH
authors.lastname: Lee
mesh_terms: D000196:Actinomycosis / Q000209:etiology* / Q000601:surgery; D000328:Adult; D005184:Fallopian Tube Diseases / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000209:etiology* / Q000601:surgery