Pelvic actinomycosis: a rare entity presenting as tubo-ovarian abscess

作者:Joshi Chitra*; Sharma Rajyashri; Mohsin Zehra
来源:Archives of Gynecology and Obstetrics, 2010, 281(2): 305-306.
DOI:10.1007/s00404-009-1141-x

摘要

A 24-year-old woman having two children using an intrauterine contraceptive device was admitted with lower abdominal pain and fever. On clinical and radiographic examination revealed a 7 x 6 cm multi-loculated cystic mass in the lower abdomen. The differential diagnosis included twisted ovarian cyst, ectopic pregnancy, tubercular tubo-ovarian (TO) mass red degeneration fibroid, diverticular diseases, emphysematous cystitis, pelvic malignancy, and mesenteric cyst. On histologic examination, an actinomycotic TO abscess was found with sulfur granules.