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A case of pelvic actinomycosis with hepatic actinomycotic pseudotumor
Cited 16 time in
Web of Science
Cited 19 time in Scopus
- Authors
- Issue Date
- 2007-02-23
- Publisher
- Karger
- Citation
- Gynecol Obstet Invest. 2007;64(2):95-9. Epub 2007 Feb 21.
- Keywords
- Actinomycosis/diagnosis/drug therapy/*etiology ; Amoxicillin/therapeutic use ; Anti-Bacterial Agents/*therapeutic use ; Biopsy, Needle ; Female ; Humans ; Intrauterine Devices/*adverse effects ; Liver Diseases/diagnosis/drug therapy/*etiology ; Magnetic Resonance Imaging ; Middle Aged ; Penicillins/therapeutic use ; Treatment Outcome ; Uterine Diseases/diagnosis/drug therapy/*etiology
- Abstract
- Pelvic actinomycosis in women most commonly occurs during ascending infections, usually associated with intrauterine devices (IUDs). However, secondary hepatic actinomycosis is very rare. A 47-year-old woman using IUDs for 18 years was referred under the impression of ovarian cancer. Further investigation revealed a hepatic tumor diagnosed as an inflammatory pseudotumor by fine needle aspiration biopsy, and a pelvic mass diagnosed as pelvic actinomycosis by sulfur granules in bilateral adnexa gained by an explorative laparotomy. Long-term therapy with high-dose intravenous penicillin and oral amoxicillin resulted in clinical and radiological improvement. The management of pelvic actinomycosis is based on a medical approach, although it sometimes requires surgical intervention. However, the necessity for surgical treatment is controversial in cases of secondary hepatic actinomycosis.
- ISSN
- 1423-002X (Electronic)
- Language
- English
- URI
- http://content.karger.com/produktedb/produkte.asp?typ=pdf&file=000100058
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17314488
https://hdl.handle.net/10371/15963
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