Actinomycotic oophoritis misdiagnosed as an ovarian tumor

Wadhwa, Neelam; Jain, Gaurav; Panikar, Nirupma

doi:10.1111/j.1447-0756.2011.01673.x

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…PA accounts for about 3% of all actinomycotic infections and is commonly associated with IUD use. Ovarian involvement is distinctly uncommon . In our series, all of the women with PA had an IUD and/or had history of IUD use.…”

Section: Discussionmentioning

confidence: 63%

“…In our series, 80% of the women had CA‐125 levels higher than 35 U/mL. Many cases are diagnosed when infection is advanced, when hydronephrosis occurs due to ureteral compression by the pelvic abscesses, and when the disease becomes severe, with tubo‐ovarian abscess formation leading to rectosigmoid colon obstruction and ‘frozen pelvis’ and mimicking pelvic cancer . Similar to PT, a frozen section is mandatory during the surgery to discriminate ovarian carcinoma and to avoid complete staging procedures and, pelvic and para‐aortic lymphadenectomy.…”

Section: Discussionmentioning

confidence: 77%

“…The diagnosis of actinomycosis is difficult to establish pre‐operatively . The clinical symptoms are usually nonspecific and include a wide range of clinical presentations.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Ertaş

Güngördük

Ozdemir

et al. 2014

Aust N Z J Obstet Gynaecol

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Pelvic tuberculosis, echinococcosis and actinomycosis must be included in the differential diagnosis of women suspected to have ovarian cancer with or without ascites and elevated CA-125 levels, especially in those living in endemic countries. During surgical exploration, frozen section analysis is important to avoid unnecessarily prolonged surgical procedures and retroperitoneal lymphadenectomy, which increases morbidity in women with these curable pelvic infectious conditions.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 77%

See 1 more Smart Citation

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Ertaş

Güngördük

Ozdemir

et al. 2014

Aust N Z J Obstet Gynaecol

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“…Several case reports of pelvic actinomycosis mimicking ovarian malignancies have been published [ 3 , 25 – 27 ] and (Table 1 ). Pelvic actinomycosis has been known to present as a rectal mass with hydronephrosis [ 28 ], following hysteroscopic removal of IUD [ 29 ] or incarcerated inguinal hernia [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases, management reflections and literature review

Laios

Terekh

Majd

et al. 2014

gynaecol oncol res pract

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Pelvic actinomycosis comprises a rare, subacute to chronic bacterial infection characterised by suppurative and granulomatous inflammation. Diagnosis is difficult as it may simulate pelvic malignancies. Laboratory and radiological findings are non-specific. We reported on 2 cases of pelvic actinomycosis mimicking ovarian malignancy with different management approaches that lead to opposite outcomes. We reviewed the literature on pelvic actinomycosis imitating ovarian cancer with a focus on its surgical management. Despite agreement on the duration of antibiotic therapy following surgical management, consensus regarding surgical approach was rather equivocal. We concluded that pelvic actinomycosis should be strongly suspected in women with presumed ovarian cancer of atypical presentation and a history of intrauterine devices (IUD).Electronic supplementary materialThe online version of this article (doi:10.1186/2053-6844-1-5) contains supplementary material, which is available to authorized users.

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“…H&E,x100 [8,9], tuberculosis, Crohn's disease, diverticulitis, or appendicitis, and pelvic magnetic resonance imaging (MRI) may be helpful in distinguishing between these etiologies [10]. Figure 2 shows the CT scan of the conglomerated mass composed of uterus, ovary, bowel, and abscess in the patient.…”

Section: Figure 1bmentioning

confidence: 99%

Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

Desteli

Gursu

Bircan

et al. 2013

J Infect Dev Ctries

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Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop. Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation.

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Actinomycotic oophoritis misdiagnosed as an ovarian tumor

Cited by 3 publications

References 4 publications

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases, management reflections and literature review

Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

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