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Ovarian and vesical actinomycosis: a case report and literature review

Archives of Gynecology and Obstetrics volume 279, Article number: 591 (2009) Cite this article

Abstract

We present a patient with a tubo-ovarian abscess pathologically confirmed to be actinomycosis in a 44-year-old woman with an intrauterine device (IUD). An ultrasound showed that the IUD was imposed on an apparently degenerated myoma. A pelvic MRI was performed to differentiate the uterine findings from a sarcoma. The MRI showed a heterogeneous pelvic mass and a bladder mass suggesting chronic inflammation caused by an organism such as actinomycosis. An exploratory laparotomy was performed, which revealed a right tubo-ovarian mass with abscess formation as well as a bladder mass. A subtotal hysterectomy, right salpingoophorectomy, partial cystectomy, and appendectomy were performed in addition to drainage of the abscess. Histopathological examination revealed a tubo-ovarian abscess and a bladder mass with colonies of actinomycoses.

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Affiliations

  1. Department of Obstetrics and Gynecology, Korea University Guro Hospital, Korea University College of Medicine, 80, Guro-dong, Guro-gu, Seoul, 152-703, South Korea

    Jong Ha Hwang, Jin Hwa Hong & Jae Kwan Lee

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  1. Jong Ha Hwang
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  2. Jin Hwa Hong
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  3. Jae Kwan Lee
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Correspondence to Jong Ha Hwang.

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Hwang, J.H., Hong, J.H. & Lee, J.K. Ovarian and vesical actinomycosis: a case report and literature review. Arch Gynecol Obstet 279, 591 (2009). https://doi.org/10.1007/s00404-008-0770-9

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  • DOI: https://doi.org/10.1007/s00404-008-0770-9

Keywords

  • Actinomycosis
  • Ovary
  • Bladder