Just Another Pelvic Mass?

  • Pablo Ruiz-Sada 5th year Resident, Internal Medicine, HCU Basurto, Bilbao, Spain
  • Julia Ruiz-Sada 3th year Resident, Obstetrics and Gynaecology, HU Miguel Servet, Zaragoza, Spain.
  • Javier Ángel López De la Osa 5th year Resident, Internal Medicine, HCU Cruces, Barakaldo, Spain
  • Esther Niño Aragón 5th year Resident, Internal Medicine, Fundació Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Spain
  • Mikel Escalante PhD Consultant, Internal Medicine, HCU Basurto, Bilbao, Spain

Keywords

Wasting syndrome, actinomycosis, pelvic mass

Abstract

Objectives: To describe the case of a patient presenting with weight loss and a pelvic mass.

Materials and methods: We performed an advanced search in MEDLINE using the key words "wasting syndrome", "actinomycosis" and "pelvic mass".

Results: A 63-year-old woman had a well-delimited and tender pelvic mass and was found to be anaemic. Before scans were performed, clinicians considered malignancy and other diagnoses.

Conclusion: Actinomycosis is a chronic infection that usually affects the abdomen. Because of the lack of specificity of clinical and radiological findings, a multidisciplinary approach is the keypoint for making an accurate diagnosis.

Author Biographies

Pablo Ruiz-Sada ,
5th year Resident, Internal Medicine, HCU Basurto, Bilbao, Spain

Internal Medicine department

5th year Resident

Julia Ruiz-Sada ,
3th year Resident, Obstetrics and Gynaecology, HU Miguel Servet, Zaragoza, Spain.

Obstetrics and Gynaecology

3th year Resident

Javier Ángel López De la Osa ,
5th year Resident, Internal Medicine, HCU Cruces, Barakaldo, Spain

internal Medicine

5th year Resident

Esther Niño Aragón ,
5th year Resident, Internal Medicine, Fundació Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Spain

Internal Medicine

5th year Resident

Mikel Escalante ,
PhD Consultant, Internal Medicine, HCU Basurto, Bilbao, Spain Internal Medicine. PhD Doctor

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References

Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007;5: 441–448.

Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ 2011;343:d6099.

Galata CL, Vogelmann R, Gaiser T, Post S, Horisberger K. Abdominopelvic actinomycosis in three different locations with invasion of the abdominal wall and ureteric obstruction: An uncommon presentation. Int J Surg Case Rep 2015;12:48–51.

Zamani F, Sohrabi M. Clinical, endoscopic, and histopathological aspects of sigmoid actinomycosis; a case report and literature review. Middle East J Dig Dis 2015;7:41–44.

Pavlik EJ, Ueland FR, Miller RW, et al. Frequency and disposition of ovarian abnormalities followed with serial transvaginal ultrasonography. Obstet Gynecol 2013;122:210.

Published: 2015-09-09

Issue: Vol. 2 No. 5 (2015) (view)

Section: Articles

How to cite:
1.
Ruiz-Sada P, Ruiz-Sada J, López De la Osa J Ángel, Niño Aragón E, Escalante M. Just Another Pelvic Mass?. EJCRIM [Internet]. 2015Sep.9 [cited 2020Sep.18];2(5). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/269