Pelvic Actinomyces israelii abscess: a differential diagnosis of a pelvic mass.
Abstract
A 52-year-old woman was admitted to our district general hospital, with a rapidly growing, increasingly tender mass in the right iliac fossa, difficulty mobilising with a fixed flexion deformity of the right hip and 15 kg weight loss in 5 months. Her 8-month long surgical history for investigation of a pelvic mass stemmed from the removal of an intrauterine device. It included radiological and surgical investigations. We report the second case in the literature, of a patient presenting with abdominal wall abscess, psoas abscess and hydronephrosis as a long-term complication of Actinomyces israelii infection of the ipsilateral ovary with a favourable outcome having excluded ovarian malignancy.
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Date
2015-11
Type
Article
Subject
Urology
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Citation
BMJ Case Rep. 2015 Nov 25;2015. pii: bcr2015211595. doi: 10.1136/bcr-2015-211595.