Pelvic actinomycosis with hydronephrosis and colon stricture simulating an advanced ovarian cancer.
Pelvic actinomycosis is an uncommon disease in humans. It has nonspecific and variable clinical features, and thus it is difficult to diagnose. Moreover, appropriate management is delayed or overlooked because it can sometimes simulate advanced ovarian cancer. We report a case of pelvic actinomycosis which manifested with hydronephrosis and bowel stricture, lymph node enlargement and increased level of tumor marker caused by a large pelvic mass. Since this case showed clinical findings mimicking an advanced ovarian carcinoma, it was surgically diagnosed as actinomycosis after neoadjuvant chemotherapy.
Lee
Yoo-Kyung
YK
Department of Obstetrics and Gynecology, Seoul National University Hospital, Goyang, Korea.
Bae
Jae-Man
JM
Park
Yeon-Jin
YJ
Park
Sang-Yoon
SY
Jung
Seung-Yong
SY