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Case Reports
. 2020 Jun 18:23:e00878.
doi: 10.1016/j.idcr.2020.e00878. eCollection 2021.

Mimicking uterine malignancy: Pelvic actinomycosis with giant uterine leiomyoma

Changzai Li  1 , Pan Zhang  2 , Guimei Jiao  1 , Jie Lv  1 , Chunmei Ma  3 , Xudong Song  4 , Jinji Zhang  1 , Chuntao Wu  1 , Ruiwei Li  1 , Hongcheng Zhu  1
Affiliations
Case Reports

Mimicking uterine malignancy: Pelvic actinomycosis with giant uterine leiomyoma

Changzai Li et al. IDCases. .

Abstract

Pelvic actinomycosis is a rare disease which is hard to be distinguished from other diseases such as malignant tumors and tuberculosis due to its nonspecific clinical signs and symptoms. If pelvic actinomycosis can be diagnosed preoperatively, the patients can be cured with antimicrobial therapy avoiding surgery. It is especially of concern to distinguish pelvic actinomycosis from pelvic mass, if there is a history of intrauterine device use. We report a case of pelvic actinomycosis that was diagnosed after the postoperative pathology of a suspected uterine malignancy.

Keywords: Giant uterine leiomyoma; Pelvic actinomycosis; Uterine malignancy.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Fig. 1
Fig. 1
Skin defects.
Fig. 2
Fig. 2
Computed tomography of the pelvis showing large pelvic soft tissue mass invading the surrounding peritoneum.
Fig. 3
Fig. 3
Multiple lesions containing sulfur granules characteristic of actinomycosis.
Fig. 4
Fig. 4
Postoperative incision healing.
See this image and copyright information in PMC

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