A case of pelvic actinomyosis presenting as an advanced ovarian malignancy.

Jung, Yoon A; Park, Young Han; Kang, Jung Bae; Kim, Sung Joo; Rhim, Chae Chun; Jang, Pong Rheem; Min, Kwang Seon

Case Report

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