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• W2896906121 abstract "Actinomycosis of the female pelvis is a rare disease often related to an indwelling IUD. Actinomycosis-related pelvic abscesses were formerly describes as causing tumour-like structures resulting in bowel and urinary obstruction, and mimicking ovarian and uterine cancers. We describe a case of a 52 year old woman admitted due to intermittent vaginal discharge and bleeding and occasional abdominal discomfort. She had carried an IUD for over 15 years. On admission she had a swollen tender abdomen, an irregular stiff cervix with no exophytic lesions, and a frozen pelvis. Transvaginal ultrasound revealed a highly vascularised 3 cm mass on the posterior lip of the cervix penetrating the posterior fornix, rectovaginal septum, rectal serosa and the parametria bilaterally. There was a cystic lesion in the right ovary measuring 91,1,*cm with hypoechoic fluid, thick avascular septa and no solid elements. The exam was summarised as an advanced malignant lesion arising from the uterine cervix with parametrial and pelvic lymph node involvement. CT scans were consistent with the sonographic findings. Blood tests showed leukocytosis with neutrophilia and a CRP of 34. The patient was admitted and treated with broad-spectrum antibiotics. Multiple cervical biopsies and an endocervical curettage were performed. Pathologic reports demonstrated fragments of severely inflamed cervical mucosa and bacterial colonies surrounded by granulocytes consistent with an Actynomyces infection. During her hospitalisation, the patient also suffered a massive rectal bleeding and her hemoglobin dropped to 4.3 gr/dl. Surgical exploration revealed a diffuse inflammatory process involving the pelvic organs with a large purulent tubo-ovarian abscess. Total abdominal hysterectomy, bilateral salpingo-oophorectomy and a sigmoidectomy were performed. Pathologic specimens noted massive inflammation of the pelvic structures consistent with the primary biopsies and no malignant features. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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• W2896906121 date "2018-10-01" @default.
• W2896906121 modified "2023-10-18" @default.
• W2896906121 title "EP18.02: Diffuse pelvic actinomycosis mimicking advanced stage cervical carcinoma: a case report" @default.
• W2896906121 doi "https://doi.org/10.1002/uog.20048" @default.
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