PELVIC ACTINOMYCOSIS MIMICKING A LOCALLY ADVANCED PELVIC MALIGNANCY - CASE REPORT

Authors

  • Natalia VELENCIUC University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi
  • I. VELENCIUC Regional Institute of Oncology, Iasi
  • S. MAKKAI POPA University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi
  • C. ROATA University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi
  • D. FERARIU University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi
  • S. LUNCA University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

Abstract

We present the case of a former user of an intrauterine contraceptive device (IUD) for 10 years, diagnosed with a bulky, fixed pelvic tumor involving the internal genital organs and the recto sigmoid, causing luminal narrowing of the rectum, interpreted as locally advanced pelvic malignancy, probably of genital origin. Intraoperatively, a high index of suspicion made us collect a sample from the fibrous wall of the tumor mass, large Actinomyces colonies were thus identified. Surgery consisted in debridement, removal of a small amount of pus and appendectomy, thus avoiding a mutilating and useless surgery. Specific antibiotic therapy was administered for 3 months, with favorable postoperative and long-term outcomes. Pelvic actinomycosis should always be considered in the differential diagnosis of pelvic tumors in women using an IUD. The association of long-term antibiotic treatment is essential to eradicate the infection and prevent relapses.

Author Biographies

  • Natalia VELENCIUC, University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

    Faculty of Medicine
    Department of Surgery
    Regional Institute of Oncology, Iasi

  • S. MAKKAI POPA, University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

    Faculty of Medicine
    Department of Surgery
    Regional Institute of Oncology, Iasi

  • C. ROATA, University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

    Faculty of Medicine
    Department of Surgery
    Regional Institute of Oncology, Iasi

  • D. FERARIU, University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

    Faculty of Medicine
    Department of Morpho-functional Sciences
    Regional Institute of Oncology, Iasi

  • S. LUNCA, University of Medicine and Pharmacy “Grigore. T. Popa”-Iasi

    Faculty of Medicine
    Department of Surgery
    Regional Institute of Oncology, Iasi

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Additional Files

Published

2016-06-30

Issue

Vol. 120 No. 2 (2016): The Medical-Surgical Journal

Section

SURGERY

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