Shunmugam Deepa, Shanmugasundaram Sundaram, Gandhi Anitha
Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India.
BMJ Case Rep. 2018 Sep 19;2018:bcr-2018-225564. doi: 10.1136/bcr-2018-225564.
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.
盆腔放线菌病是一种罕见疾病，几乎仅发生于女性，其临床表现通常不具特异性且多变。盆腔放线菌病几乎总是与宫内节育器（IUD）的使用有关。与IUD使用无关的盆腔放线菌病几乎总是与既往手术操作有关。其症状、临床体征及影像学表现通常不具特异性，易被误诊为卵巢恶性肿瘤。因此，了解这种罕见疾病并做出正确诊断可避免不必要的手术，因为这些病例可通过长期使用抗生素进行治疗。我们报告一例伪装成卵巢恶性肿瘤的盆腔放线菌病病例。
