S-Space College of Medicine/School of Medicine (의과대학/대학원) Obstetrics & Gynecology (산부인과전공) Journal Papers (저널논문_산부인과학전공)
A case of pelvic actinomycosis with hepatic actinomycotic pseudotumor
- Kim, Hee Seoung; Park, Noh Hyun; Park, Keoung Ah; Kang, Soon Beom
- Issue Date
- Gynecol Obstet Invest. 2007;64(2):95-9. Epub 2007 Feb 21.
- 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
- 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.
- 1423-002X (Electronic)
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