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Isolated ovarian actinomycosis – a diagnosis often underlooked

Authors:

C Vijaya,

Sapthagiri Institute of Medical Sciences and Research Center, Bangalore, IN
About C
Department of Pathology
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A Shetty ,

Sapthagiri Institute of Medical Sciences and Research Center, Bangalore, IN
About A
Department of Pathology
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V Geethamani

Sapthagiri Institute of Medical Sciences and Research Center, Bangalore, IN
About V
Department of Pathology
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Abstract

Pelvic Actinomycosis is rare, and isolated ovarian actinomycosis even rarer. We present an interesting case of a 39 year old lady, who was extensively worked up, following a clinical suspicion of ovarian cancer. The postoperative diagnosis was ovarian actinomycosis. In majority of cases, including ours, the indolent clinical course, together with the malignant tumour like appearance at imaging was misleading, and a final diagnosis of actinomycosis was made only after the histological examination of the specimen. Although ovarian actinomycosis is often related to the use of intra-uterine device (IUD), the index case did not have any history of using IUD, also there was no evidence of actimomycosis elsewhere, including abdomen. We present this case, not only for its diagnostic dilemma and rarity, but also to highlight the fact that a high suspicion for actinomycotic infection can spare the patient from radical and excessive surgical intervention.

DOI: http://dx.doi.org/10.4038/sljog.v35i1.6006

Sri Lanka Journal of Obstetrics and Gynaecology 2013; 35: 37-39

DOI: http://doi.org/10.4038/sljog.v35i1.6006
How to Cite: Vijaya, C., Shetty, A. & Geethamani, V., (2013). Isolated ovarian actinomycosis – a diagnosis often underlooked. Sri Lanka Journal of Obstetrics and Gynaecology. 35(1), pp.37–39. DOI: http://doi.org/10.4038/sljog.v35i1.6006
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Published on 05 Sep 2013.
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