title: Pelvic and abdominal-wall actinomycotic infection by uterus gateway without genital lesions.
abstract: We hereby aim to account on a case of actinomycotic infection occurred in a female patient with an intrauterine contraceptive device (IUCD). The infection occurred as a pseudo-tumour which raised differential diagnosis issues with a malignant tumour. The diagnosis has been eventually established following the pathologic examination of paraffin-embedded tissues. Although the infection's gateway was the uterus, the subsequent invasion of the parietal, urinary bladder and lateral rectal walls did not seem to affect the fallopian tubes or the ovaries.
authors.affiliation: Clinica de Chirurgie Generală "Ion Juvara", Spitalul Clinic "Dr. I. Cantacuzino", Bucureşti. dribrezean@yahoo.com
authors.forename: I
authors.initials: I
authors.lastname: Brezean
authors.forename: S
authors.initials: S
authors.lastname: Aldoescu
authors.forename: E
authors.initials: E
authors.lastname: Catrina
authors.forename: M
authors.initials: M
authors.lastname: Vâlcu
authors.forename: I
authors.initials: I
authors.lastname: Ionuţ
authors.forename: G
authors.initials: G
authors.lastname: Predescu
authors.forename: D
authors.initials: D
authors.lastname: Degeratu
authors.forename: I
authors.initials: I
authors.lastname: Pantea
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D007813:Laparotomy; D034161:Pelvic Infection / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D010386:Pelvic Neoplasms / Q000175:diagnosis; D017568:Rectus Abdominis / Q000382:microbiology / Q000601:surgery; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin