Pelvic actinomycosis: a rare entity presenting as tubo-ovarian abscess.
A 24-year-old woman having two children using an intrauterine contraceptive device was admitted with lower abdominal pain and fever. On clinical and radiographic examination revealed a 7x6 cm multi-loculated cystic mass in the lower abdomen. The differential diagnosis included twisted ovarian cyst, ectopic pregnancy, tubercular tubo-ovarian (TO) mass red degeneration fibroid, diverticular diseases, emphysematous cystitis, pelvic malignancy, and mesenteric cyst. On histologic examination, an actinomycotic TO abscess was found with sulfur granules.
Joshi
Chitra
C
Department of Obstetrics and Gynaecology, J.N. Medical College, A.M.U., Aligarh, Uttar Pradesh, India. drchitranil@yahoo.co.in
Sharma
Rajyashri
R
Mohsin
Zehra
Z
D000196:Actinomycosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000382:microbiology; D007813:Laparotomy; D010386:Pelvic Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010406:Penicillins / Q000627:therapeutic use; D014463:Ultrasonography; D055815:Young Adult
D010406:Penicillins