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[Pelvic actinomycosis: a case with secondary localization in the liver]
F Reyal1, H Grynberg, O Sibony
1Service de Gynécologie obstétrique, Hôpital Louis Mourier, Colombes.
Background:
Actinomycosis is uncommonly observed in a pelvic localization. The presence of an intrauterine device is an important risk factor.
Case Report:
A 50-year-old woman presented a tumoral mass in the pelvis with secondary liver involvement. Pathology examination corrected the initial diagnosis of advanced stage pelvic neoplasia to actinomycosis. Rapid improvement was achieved with penicillin.
Discussion:
Differential diagnosis is difficult but essential in case of pelvic actinomycosis as misdiagnosis can have disastrous surgical consequences. Medical treatment is indicated. Actinomycosis should be entertained as a possible diagnosis in all cases associating a pelvic tumor and inflammation in women wearing an intrauterine device.
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