Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pelvic actinomycosis presenting as a malignant pelvic mass: a case report | Simsek et al. Journal of Medical Case Reports 2011 5 40 http content 5 1 40 JOURNALOF medical case reports CASE REPORT Open Access Pelvic actinomycosis presenting as a malignant pelvic mass a case report Arife Simsek Asiye Perek Ibrahim Ethem Cakcak Ali Vedat Durgun Abstractintroduction Pelvic actinomycosis constitutes 3 of all human actinomycosis infections. It is usually insidious and is often mistaken for other conditions such as diverticulitis abscesses inflammatory bowel disease and malignant tumors presenting a diagnostic challenge pre-operatively it is identified post-operatively in most cases. Here we present a case that presented as pelvic malignancy and was diagnosed as pelvic actinomycosis post-operatively. Case presentation A 48-year-old Caucasian Turkish woman presented to our clinic with a three-month history of abdominal pain weight loss and difficulty in defecation. She had used an intra-uterine device for 16 years however it had recently been removed. The rectosigmoidoscopy revealed narrowing of the lumen at 12 cm due to a mass lesion either in the wall or due to an extrinsic lesion that prevented the passage of the endoscope. On examination there was no gynecological pathology. Magnetic resonance imaging showed a mass measuring X 4 cm attached to the rectum posterior to the uterus. The ureter on that side was dilated. Surgically there was a pelvic mass adhered to the rectum and uterine adnexes measuring 10x12 cm. It originated from uterine adnexes particularly ones from the left side and formed a conglomerated mass with the uterus and nearby organs the left ureter was also dilated due to the pelvic mass. Because of concomitant tubal abscess formation and difficulty in dissection planes total abdominal hysterectomy and bilateral salphingo-oophorectomy was performed our patient was 48 years old and had completed her childbearing period . The cytology revealed inflammatory cells with aggregates of Actinomyces. .
