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Korean Journal of Obstetrics & Gynecology 2009;52(12):1344-1349.
Published online December 1, 2009.
A case of pelvic actinomyosis presenting as an advanced ovarian malignancy.
Yoon A Jung, Young Han Park, Jung Bae Kang, Sung Joo Kim, Chae Chun Rhim, Pong Rheem Jang, Kwang Seon Min
1Department of Obstetrics and Gynecology, Hallym University Medical School, Anyang, Korea. drparkyh@yahoo.co.kr
2Department of Pathology, Hallym University Medical School, Anyang, Korea.
Abstract
Pelvic actinomycosis is an infrequent chronic suppurative granulomatous disease, caused by a gram-positive bands Actinomyces israelii. It is often reported as a complicated case of an intrauterine device (IUD). Ureteral obstruction and subsequent hydronephrosis are rare complications of pelvic inflammatory disease. Sometimes pelvic actinomyosis is simulating ovarian malignancy. We report a case combined with hydronephrosis, multiple pelvic lymph nodes enlargements and elevated CA 125 as complications of pelvic actinomycosis.
Key Words: Actinomyosis, Hydronephrosis, Lymph node enlargement, Malignancy


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