دورية أكاديمية

Pelvic actinomycosis mimicking ovarian malignancy: three cases

التفاصيل البيبلوغرافية
العنوان: Pelvic actinomycosis mimicking ovarian malignancy: three cases
المؤلفون: Akhan, S. E., Topuz, SAMET, AKHAN, SILA, Iyibozkurt, A. C., Yalcin, O., Doğan, Yelda Özge
المساهمون: İstanbul Teknik Üniversitesi , Mimarlık , Mimarlık, 56200
سنة النشر: 2008
مصطلحات موضوعية: İç Hastalıkları, Onkoloji, Cerrahi Tıp Bilimleri, Kadın Hastalıkları ve Doğum, Sağlık Bilimleri, Dahili Tıp Bilimleri, Tıp, KADIN HASTALIKLARI & DOĞUM, Klinik Tıp (MED), Klinik Tıp, ONKOLOJİ
الوصف: Objective: Three cases of pelvic actinomycosis initially diagnosed as pelvic malignancy and treated surgically are reported. Cases: The first case was a 38-year-old multiparous woman who was referred to our clinic because of bilateral ovarian solid masses. With the impression of ovarian carcinoma, a laparotomy was performed. During surgery adhesiolysis, total abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic omentectomy, appendectomy, peritoneal washings, and peritoneal abscess drainage were performed. The second patient was a 37-year-old woman who presented with a left-sided fixed solid mass highly suggestive of pelvic malignancy. Both ureters were found to be dilated with hydronephrosis in the right kidney supporting the diagnosis of retroperitoneal fibrosis. Excision of the mass, colectomy and temporary diverting colostomy and stent insertion to the left ureter were performed. Colostomy repair was performed five months later. On the fifth day postoperatively, fascial necrosis developed so a Bogotabag was placed on the anterior abdominal wall and left for secondary healing. The third patient was a 51-year-old postmenopausal woman incidentally diagnosed as having a pelvic mass while having been investigated for constipation and nausea. She had had a colostomy one year before and a reanastomosis two months after. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. In all cases, histopathologic staining of the specimens revealed chronic inflammation containing actinomy-costs abscesses confirmed with microbiologic identification. Conclusion: Pelvic actinomycosis is an uncommon cause of a pelvic mass. However, it should be kept in mind in the differential diagnosis of pelvic masses, especially in the patients with a history of IUD use to avoid an unnecessary extensive surgical procedure.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0392-2936
العلاقة: EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY; Akhan S. E. , Doğan Y. Ö. , AKHAN S., Iyibozkurt A. C. , Topuz S., Yalcin O., "Pelvic actinomycosis mimicking ovarian malignancy: three cases", EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, cilt.29, ss.294-297, 2008; vv_1032021; av_bb0e4a5a-467c-4137-8cc2-bef6ca8e5e52; http://hdl.handle.net/20.500.12627/124399Test; 29; 294; 297
الإتاحة: https://doi.org/20.500.12627/124399Test
https://hdl.handle.net/20.500.12627/124399Test
رقم الانضمام: edsbas.34AD301
قاعدة البيانات: BASE