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Reminder of important clinical lesson
CASE REPORT
Rare cause of ovarian mass
  1. Deepa Shunmugam,
  2. Sundaram Shanmugasundaram,
  3. Anitha Gandhi
  1. Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India
  1. Correspondence to Dr Deepa Shunmugam, oncodeepa{at}gmail.com

Summary

Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. The symptoms, clinical signs and radiological findings are usually non-specific, mimicking an ovarian malignancy. So an awareness of this rare condition and a proper diagnosis can avoid unnecessary surgeries because these cases can be treated with a prolonged course of antibiotics. We present a case of pelvic actinomycosis which masqueraded as an ovarian malignancy.

  • pelvic inflammatory disease
  • gynecological cancer

https://doi.org/10.1136/bcr-2018-225564

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    Footnotes

    • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept, design, analysis, writing, or revision of the manuscript. Furthermore, each author certifies that this material or similar material has not been and will not be submitted to or published in any other publication before its appearance in the BMJ Case Reports. Category 1. Concept and design of study: DS, SS. Acquisition of data: DS. Analysis and interpretation of data: AG. Category 2. Drafting the manuscript: DS, SS. Revising the manuscript critically for important intellectual content: SS, AG. Category 3. Approval of the version of the manuscript to be published: all authors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.