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Related Experiment Videos

Pelvic actinomycosis. Urologic perspective.

Venkata K Marella1, Omid Hakimian, Gilbert J Wise

  • 1Section of Urology, Maimonides Medical Center, Brooklyn, New York 11219, USA. vkmarella@hotmail.com

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|December 22, 2004
PubMed
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Pelvic actinomycosis, a chronic infection, often mimics pelvic cancer. Long-term intra-uterine device use and urachal remnants are associated risk factors, with surgical removal and antibiotics being effective treatments.

Area of Science:

  • Infectious Diseases
  • Gynecologic Oncology
  • Surgical Pathology

Background:

  • Actinomycosis is a chronic granulomatous infection caused by Actinomyces israelli.
  • Pelvic actinomycosis frequently presents as a pelvic mass, mimicking malignancy.

Purpose of the Study:

  • To review the etiology and clinical presentation of pelvic actinomycosis.
  • To analyze demographic, clinical, and predisposing factors in patients with pelvic actinomycosis.

Main Methods:

  • Combined analysis of author-treated patients and literature review.
  • Assessment of demographic data, clinical signs, diagnostic methods, and treatment approaches.
  • Histologic examination of excised tissue for diagnosis.

Main Results:

Related Experiment Videos

  • Thirty-three patients (27 female, 6 male) were included.
  • Common symptoms: lower abdominal mass (85%), pain (63%).
  • Associations found with intra-uterine contraceptive devices (70% of females) and urachal remnants (12.5%).

Conclusions:

  • Pelvic actinomycosis can be mistaken for pelvic malignancy.
  • Long-term intra-uterine device use and urachal remnants are potential associated factors.
  • Surgical excision of the infected mass combined with antibiotic therapy is curative.