Just Another Pelvic Mass?
KeywordsWasting syndrome, actinomycosis, pelvic mass
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.
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.
Issue: Vol. 2 No. 5 (2015) (view)