Prague Med. Rep. 2012, 113, 44-48

https://doi.org/10.14712/23362936.2015.36

Case Report: Pelvic Actinomycosis

Kateřina Maxová1, E. Menzlová1, D. Kolařík2, P. Dundr3, M. Halaška1

1Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University in Prague and Hospital Bulovka, Prague, Czech Republic
2Department of Gynaecology and Obstetrics, Third Faculty of Medicine, Charles University in Prague and Institute for the Care of Mother and Child, Prague, Czech Republic
3Institute of Pathology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic

Received July 30, 2011
Accepted January 16, 2012

A case of pelvic actinomycosis is presented. The patient is 42-year-old female with a 5 weeks history of pelvic pain. An intrauterine device (IUD) was taken out 3 weeks ago. There is a lump length 9 cm between rectus muscles. Ultrasound, magnetic resonance imaging (MRI) and histology are used to make the diagnosis. Actinomycosis can mimic the tumour disease. The definitive diagnosis requires positive anaerobic culture or histological identification of actinomyces granulas. A long lasting antibiotic therapy is performed.

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