Ovarian and vesical actinomycosis: a case report and literature review.

Abstract:

:We present a patient with a tubo-ovarian abscess pathologically confirmed to be actinomycosis in a 44-year-old woman with an intrauterine device (IUD). An ultrasound showed that the IUD was imposed on an apparently degenerated myoma. A pelvic MRI was performed to differentiate the uterine findings from a sarcoma. The MRI showed a heterogeneous pelvic mass and a bladder mass suggesting chronic inflammation caused by an organism such as actinomycosis. An exploratory laparotomy was performed, which revealed a right tubo-ovarian mass with abscess formation as well as a bladder mass. A subtotal hysterectomy, right salpingoophorectomy, partial cystectomy, and appendectomy were performed in addition to drainage of the abscess. Histopathological examination revealed a tubo-ovarian abscess and a bladder mass with colonies of actinomycoses.

journal_name

Arch Gynecol Obstet

authors

Hwang JH,Hong JH,Lee JK

doi

10.1007/s00404-008-0770-9

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

591-3

issue

4

eissn

0932-0067

issn

1432-0711

journal_volume

279

pub_type

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