Annals of Clinical and Laboratory Science, Vol 23, Issue 6, 448-455
Copyright © 1993 by Association of Clinical Scientists
Pelvicobdominal actinomycosis associated with an intrauterine contraceptive device. A case of liver dissemination mimicking metastatic ovarian cancer
RL Sandin,
JN Greene,
JS Sarzier,
I Himelright,
NN Ku,
JF Toney,
and
W Roberts
A rare case of pelvicoabdominal actinomycosis with liver dissemination is reported in a patient with an intrauterine contraceptive device (IUCD) in place for 10 years. Her initial preoperative diagnosis of metastatic ovarian cancer emphasizes the slow indolent destructive nature of actinomycosis mimicking a malignancy. A history of an indwelling IUCD for several years along with a pelvic mass should prompt consideration of actinomycosis as a possible etiology.