An unusual presentation of actinomycosis in a young woman, after surgery.
ABSTRACT Actinomycosis is an unusual, chronic granulomatous disease. Actinomyces israelli has been found to be related to infectious processes in those patients with affected skin integrity leading to abscess formation, fistulae or mass lesions. Actinomycosis mainly presents in three forms cervicofacial (50%), abdominal (20%) and thoracic (15%). Pelvic cases have been rarely reported and are usually associated with the use of intrauterine devices. We describe a case of a 23 y/o female without history of intrauterine device use, who was admitted with an ovarian cyst following an appendectomy. An ovarian abscess was drained. The pathology showed a granuloma and focal sulfur granules like particles compatible with Actinomyces. This is a case of pelvic Actinomyces, not related to the use of an intrauterine device.
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ABSTRACT: The presence of an abdominal mass may be symptomatic or it could be found in a routine physical examination. Before this is diagnosed some further tests should be done for the differential diagnosis of the mass, whether it is of gynaecological origin and if the pathology is benign or malignant. The mass may be accompanied by acute or chronic pain. Pelvic actinomycosis is a rare cause of such signs and it is usually associated with the use of an intrauterine device. Here we present a case of chronic abdominal pain with cyst of ovary in a 20-year-old patient without previous sexual activity.Progresos de Obstetricia y Ginecología 05/2010; 53(5). DOI:10.1016/j.pog.2008.10.002