Pelvic Actinomycosis Mimicking Ovarian Malignancy Causing Unilateral Hydronephrosis

Authors

  • Cemil Kaymaz Dokuz Eylül University, School of Medicine Departments of Obstetrics and Gynecology, İzmir
  • Bahadır Saatlı Dokuz Eylül University, School of Medicine Departments of Obstetrics and Gynecology, İzmir
  • Özgür Bige Dokuz Eylül University, School of Medicine Departments of Obstetrics and Gynecology, İzmir
  • Meral Koyuncuoğlu Dokuz Eylül University, School of Medicine Departments of Pathology, İzmir
  • Aykut Kefi Dokuz Eylül University, School of Medicine Departments of Urology, İzmir
  • Uğur Saygılı Dokuz Eylül University, School of Medicine Departments of Obstetrics and Gynecology, İzmir

Keywords:

Pelvic actinomycosis, Ureteral obstruction, Intrauterine device

Abstract

Pelvic actinomycosis is a chronic granulomatous suppurative disease caused by actinomyces israelii and usually associated with long-standing use of an intrauterine device. Pelvic actinomycosis can cause tuboovarian abscess, ureteral and bowel obstruction in some rare cases mimicking an ovarian tumor. We report a pelvic actinomycosis case with elevated Ca 125 level and obstructed ureter mimicking an
ovarian tumor. The preoperative imaging methods and Ca 125 level indicated an ovarian malignancy, but frozen section diagnosis was benign, and overtreatment was avoided. Pelvic actinomycosis, although is a rare granulomatous suppurative disease, in case of long-standing use of an intra-uterine device and ovarian mass, it should be in the mind of the surgeon as a differential diagnosis to avoid
excessive surgery.

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Published

2007-04-15

How to Cite

1.
Kaymaz C, Saatlı B, Bige Özgür, Koyuncuoğlu M, Kefi A, Saygılı U. Pelvic Actinomycosis Mimicking Ovarian Malignancy Causing Unilateral Hydronephrosis. Gynecol Obstet Reprod Med [Internet]. 2007Apr.15 [cited 2022May26];13(1):70-2. Available from: https://gorm.com.tr/index.php/GORM/article/view/519

Issue

Section

Case Reports