Intrauterine contraceptive device-related actinomycosis infection presenting as ovarian cancer with carcinomatosis

Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Namkyu Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Actinomycosis is a chronic granulomatous infection characterized by variable presentations, including disease states that can mimic neoplastic disease. A case is presented of actinomycosis that resembled metastatic carcinoma of the ovary. Methods: Case report and review of pertinent English-language literature. Case Report: A 52-year-old female presented with a four-month history of abdominal discomfort and general weakness, and a two-month history of weight loss (8 kg). She had no history of medical disease. She had undergone exploratory laparotomy in the past because of ectopic pregnancy and she had used an intra-uterine contraceptive device for many years. Abdominal-pelvic computed tomography (CT) and pelvic magnetic resonance imaging (MRI) revealed a 5.9×6.4cm heterogeneous enhancing pelvic soft tissue mass with central necrosis, probably arising from the left adnexa, and was consistent with ovarian cancer. She also had multiple peripheral enhancing cystic lesions in the pelvis, abdominal wall, both paracolic gutters, the root of the small bowel mesentery, the omentum, and Morison pouch. She had a moderate amount of ascites with diffuse peritoneal thickening consistent with carcinomatosis. An exploratory laparotomy was performed, showing multiple large abscesses with adhesions and a large soft tissue mass in the left pelvic cavity. After resection and drainage, final pathology was reported as actinomycosis. After her operation, she was given intravenous penicillin for six weeks and discharged. Conclusion: Surgeons and clinicians should be aware of this infectious disease because of its atypical symptoms and potential to mimic soft tissue tumors or malignant neoplasms.

Original languageEnglish
Pages (from-to)826-828
Number of pages3
JournalSurgical Infections
Volume15
Issue number6
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Actinomycosis
Intrauterine Devices
Ovarian Neoplasms
Carcinoma
Laparotomy
Contraceptive Devices
Infection
Omentum
Mesentery
Ectopic Pregnancy
Abdominal Wall
Pelvis
Ascites
Penicillins
Abscess
Communicable Diseases
Weight Loss
Drainage
Ovary
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Lim, Dae Ro ; Hur, Hyuk ; Min, Byung Soh ; Baik, Seung Hyuk ; Kim, Namkyu. / Intrauterine contraceptive device-related actinomycosis infection presenting as ovarian cancer with carcinomatosis. In: Surgical Infections. 2014 ; Vol. 15, No. 6. pp. 826-828.
@article{fd26de550488429b81b8a15e2694ad88,
title = "Intrauterine contraceptive device-related actinomycosis infection presenting as ovarian cancer with carcinomatosis",
abstract = "Background: Actinomycosis is a chronic granulomatous infection characterized by variable presentations, including disease states that can mimic neoplastic disease. A case is presented of actinomycosis that resembled metastatic carcinoma of the ovary. Methods: Case report and review of pertinent English-language literature. Case Report: A 52-year-old female presented with a four-month history of abdominal discomfort and general weakness, and a two-month history of weight loss (8 kg). She had no history of medical disease. She had undergone exploratory laparotomy in the past because of ectopic pregnancy and she had used an intra-uterine contraceptive device for many years. Abdominal-pelvic computed tomography (CT) and pelvic magnetic resonance imaging (MRI) revealed a 5.9×6.4cm heterogeneous enhancing pelvic soft tissue mass with central necrosis, probably arising from the left adnexa, and was consistent with ovarian cancer. She also had multiple peripheral enhancing cystic lesions in the pelvis, abdominal wall, both paracolic gutters, the root of the small bowel mesentery, the omentum, and Morison pouch. She had a moderate amount of ascites with diffuse peritoneal thickening consistent with carcinomatosis. An exploratory laparotomy was performed, showing multiple large abscesses with adhesions and a large soft tissue mass in the left pelvic cavity. After resection and drainage, final pathology was reported as actinomycosis. After her operation, she was given intravenous penicillin for six weeks and discharged. Conclusion: Surgeons and clinicians should be aware of this infectious disease because of its atypical symptoms and potential to mimic soft tissue tumors or malignant neoplasms.",
author = "Lim, {Dae Ro} and Hyuk Hur and Min, {Byung Soh} and Baik, {Seung Hyuk} and Namkyu Kim",
year = "2014",
month = "1",
day = "1",
doi = "10.1089/sur.2013.005",
language = "English",
volume = "15",
pages = "826--828",
journal = "Surgical Infections",
issn = "1096-2964",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

Intrauterine contraceptive device-related actinomycosis infection presenting as ovarian cancer with carcinomatosis. / Lim, Dae Ro; Hur, Hyuk; Min, Byung Soh; Baik, Seung Hyuk; Kim, Namkyu.

In: Surgical Infections, Vol. 15, No. 6, 01.01.2014, p. 826-828.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Intrauterine contraceptive device-related actinomycosis infection presenting as ovarian cancer with carcinomatosis

AU - Lim, Dae Ro

AU - Hur, Hyuk

AU - Min, Byung Soh

AU - Baik, Seung Hyuk

AU - Kim, Namkyu

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Actinomycosis is a chronic granulomatous infection characterized by variable presentations, including disease states that can mimic neoplastic disease. A case is presented of actinomycosis that resembled metastatic carcinoma of the ovary. Methods: Case report and review of pertinent English-language literature. Case Report: A 52-year-old female presented with a four-month history of abdominal discomfort and general weakness, and a two-month history of weight loss (8 kg). She had no history of medical disease. She had undergone exploratory laparotomy in the past because of ectopic pregnancy and she had used an intra-uterine contraceptive device for many years. Abdominal-pelvic computed tomography (CT) and pelvic magnetic resonance imaging (MRI) revealed a 5.9×6.4cm heterogeneous enhancing pelvic soft tissue mass with central necrosis, probably arising from the left adnexa, and was consistent with ovarian cancer. She also had multiple peripheral enhancing cystic lesions in the pelvis, abdominal wall, both paracolic gutters, the root of the small bowel mesentery, the omentum, and Morison pouch. She had a moderate amount of ascites with diffuse peritoneal thickening consistent with carcinomatosis. An exploratory laparotomy was performed, showing multiple large abscesses with adhesions and a large soft tissue mass in the left pelvic cavity. After resection and drainage, final pathology was reported as actinomycosis. After her operation, she was given intravenous penicillin for six weeks and discharged. Conclusion: Surgeons and clinicians should be aware of this infectious disease because of its atypical symptoms and potential to mimic soft tissue tumors or malignant neoplasms.

AB - Background: Actinomycosis is a chronic granulomatous infection characterized by variable presentations, including disease states that can mimic neoplastic disease. A case is presented of actinomycosis that resembled metastatic carcinoma of the ovary. Methods: Case report and review of pertinent English-language literature. Case Report: A 52-year-old female presented with a four-month history of abdominal discomfort and general weakness, and a two-month history of weight loss (8 kg). She had no history of medical disease. She had undergone exploratory laparotomy in the past because of ectopic pregnancy and she had used an intra-uterine contraceptive device for many years. Abdominal-pelvic computed tomography (CT) and pelvic magnetic resonance imaging (MRI) revealed a 5.9×6.4cm heterogeneous enhancing pelvic soft tissue mass with central necrosis, probably arising from the left adnexa, and was consistent with ovarian cancer. She also had multiple peripheral enhancing cystic lesions in the pelvis, abdominal wall, both paracolic gutters, the root of the small bowel mesentery, the omentum, and Morison pouch. She had a moderate amount of ascites with diffuse peritoneal thickening consistent with carcinomatosis. An exploratory laparotomy was performed, showing multiple large abscesses with adhesions and a large soft tissue mass in the left pelvic cavity. After resection and drainage, final pathology was reported as actinomycosis. After her operation, she was given intravenous penicillin for six weeks and discharged. Conclusion: Surgeons and clinicians should be aware of this infectious disease because of its atypical symptoms and potential to mimic soft tissue tumors or malignant neoplasms.

UR - http://www.scopus.com/inward/record.url?scp=84918526620&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84918526620&partnerID=8YFLogxK

U2 - 10.1089/sur.2013.005

DO - 10.1089/sur.2013.005

M3 - Article

VL - 15

SP - 826

EP - 828

JO - Surgical Infections

JF - Surgical Infections

SN - 1096-2964

IS - 6

ER -