Pelvic Actinomyces israelii abscess: a differential diagnosis of a pelvic mass. (25th November 2015)

• Record Type: Journal Article
• Authors: Dhillon, Ajit Kaur; Fairlie, Neil; Finch, Guy
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-11-25
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-211595
• Languages: English
• ISSNs: 1757-790X

Abstract

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.