Article Text

Download PDFPDF
Abdominopelvic actinomycosis mimicking disseminated peritoneal carcinomatosis
  1. Catherine A T Hildyard,
  2. Neil J Gallacher,
  3. Philip S Macklin
  1. Department of Gastroenterology, Oxford University Hospitals, Oxford, UK
  1. Correspondence to Dr Catherine Anne Thoroton Hildyard, cathildyard{at}


We present a case of a 38-year-old woman who presented with symptoms suggestive of intra-abdominal or pelvic malignancy: marked weight loss, abdominal pain, altered bowel habit, anorexia and fatigue. The findings of multiple peritoneal deposits, adnexal and presacral masses on CT imaging and appearances on diagnostic laparotomy also suggested malignancy. However, the histological analysis was inconsistent with malignancy and revealed an infection with Actinomyces israelii. The patient started a course of intravenous antibiotics and complete resolution is expected. An intrauterine contraceptive device was identified as the likely source of the infection.

View Full Text

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.