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Clinics and Practice
Volume 1
Issue 4
10.4081/cp.2011.e112
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Diagnostic Dilemma Posed by Severe Pelvic Actinomycosis Associated with Prolonged Use of Copper Intrauterine Contraceptive Device

by
Subhayu Bandyopadhyay
1,*,
Sanjay Sinha
1,
Patrick Fan Wui Chien
1 and
Dawn Fleming
2
1
Department of Obstetrics & Gynaecology, Ninewells Hospital, Dundee, UK
2
Department of pathology, Ninewells Hospital, Dundee, UK
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(4), e112; https://doi.org/10.4081/cp.2011.e112
Submission received: 9 October 2011 / Revised: 9 October 2011 / Accepted: 2 November 2011 / Published: 25 November 2011

Abstract

Actinomycosis has been recognized to be associated with the use of intrauterine contraceptive device. We are reporting a case where a patient with severe pelvic actinomycosis presented with the clinical picture of an ovarian tumour. A 44-year-old lady attended the A&E with progressively worsening lower abdominal pain. A computerized tomography (CT) scan showed the presence of a large pelvic mass, right hydronephrosis and prominent para-aortic lymph nodes and an elevated C-reactive proteine (CRP) and white cell count (WCC). When there was no improvement with antibiotic therapy, a laparotomy was performed, where bilateral tubo-ovarian abscess and dense adhesions were found. A subtotal hysterectomy, bilateral salpingoophorectomy and small bowel resection was performed. Histopathology of the specimen confirmed the diagnosis of actinomycosis. The case highlighted the diagnostic dilemma for ascertaining the nature of the pelvic mass in this patient. Due to its invasion of surrounding tissues and the formation of masses severe infection is often confused with an ovarian neoplasm.
Keywords: actinomycosis; pelvic mass; ovary; neoplasm; copper intrauterine contraceptive device actinomycosis; pelvic mass; ovary; neoplasm; copper intrauterine contraceptive device

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MDPI and ACS Style

Bandyopadhyay, S.; Sinha, S.; Wui Chien, P.F.; Fleming, D. Diagnostic Dilemma Posed by Severe Pelvic Actinomycosis Associated with Prolonged Use of Copper Intrauterine Contraceptive Device. Clin. Pract. 2011, 1, e112. https://doi.org/10.4081/cp.2011.e112

AMA Style

Bandyopadhyay S, Sinha S, Wui Chien PF, Fleming D. Diagnostic Dilemma Posed by Severe Pelvic Actinomycosis Associated with Prolonged Use of Copper Intrauterine Contraceptive Device. Clinics and Practice. 2011; 1(4):e112. https://doi.org/10.4081/cp.2011.e112

Chicago/Turabian Style

Bandyopadhyay, Subhayu, Sanjay Sinha, Patrick Fan Wui Chien, and Dawn Fleming. 2011. "Diagnostic Dilemma Posed by Severe Pelvic Actinomycosis Associated with Prolonged Use of Copper Intrauterine Contraceptive Device" Clinics and Practice 1, no. 4: e112. https://doi.org/10.4081/cp.2011.e112

APA Style

Bandyopadhyay, S., Sinha, S., Wui Chien, P. F., & Fleming, D. (2011). Diagnostic Dilemma Posed by Severe Pelvic Actinomycosis Associated with Prolonged Use of Copper Intrauterine Contraceptive Device. Clinics and Practice, 1(4), e112. https://doi.org/10.4081/cp.2011.e112

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