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A case of pelvic actinomycosis with hepatic actinomycotic pseudotumor

Cited 14 time in Web of Science Cited 16 time in Scopus
Authors
Kim, Hee Seoung; Park, Noh Hyun; Park, Keoung Ah; Kang, Soon Beom
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/*etiologyAmoxicillin/therapeutic useAnti-Bacterial Agents/*therapeutic useBiopsy, NeedleFemaleHumansIntrauterine Devices/*adverse effectsLiver Diseases/diagnosis/drug therapy/*etiologyMagnetic Resonance ImagingMiddle AgedPenicillins/therapeutic useTreatment OutcomeUterine 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

http://hdl.handle.net/10371/15963
DOI
https://doi.org/10.1159/000100058
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Obstetrics & Gynecology (산부인과전공)Journal Papers (저널논문_산부인과학전공)
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