The great pretender: ovarian actinomycosis presenting as pelvic inflammatory disease mimicking ovarian malignancy – a rare case report

Authors

  • Vivek Kaushal Department of OBG, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Ashok Verma Department of OBG, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Aabha Sharma Department of OBG, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Deepti Rana Department of OBG, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India
  • Tanupriya Dogra Department of OBG, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20263062

Keywords:

Ovarian actinomycosis, Pelvic mass, Ovarian malignancy mimic, IUD, Case report

Abstract

Ovarian actinomycosis is a rare chronic granulomatous infection that often mimics ovarian malignancy, leading to diagnostic challenges. We report a case of a 38-year-old female presenting with abdominal pain, fever, and a complex adnexal mass favouring the suspicion of Pelvic inflammatory disease and malignancy. Surgical exploration and histopathology confirmed ovarian actinomycosis. This case highlights the importance of considering actinomycosis in differential diagnosis to avoid unnecessary radical surgery.

 

References

Dayan K, Neufeld D, Zissin R, Bernheim J, Paran H, Schwartz I et al. Actinomycosis of the large bowel: unusual presentations and their surgical treatment. Eur J Surg. 1996;162(8):657-60.

Könönen E, Wade WG. Actinomyces and related organisms in human infections. Clin Microbiol Rev. 2015;28(2):419-42.

Dastgir R, Sohrabi M. Periapical Actinomycosis: A Rare Subdivision of Cervicofacial Actinomycosis, Review of the Literature, and a Case Report. Case Rep Dent. 2022;2022: 7323268.

Hamid D, Baldauf JJ, Cuenin C, Ritter J. Treatment strategy for pelvic actinomycosis: case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2000;89(2):197-200.

Goldberg MH. Diagnosis and Treatment of Cervicofacial Actinomycosis. Oral and Maxillofacial Surgery Clinics of North America. 2003;15(1):51-8.

Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011;343: d6099.

Kim M, Ko J, Lee C. Pelvic actinomycosis with abundant ascites, pleural effusion, and lymphadenopathy diagnosed with endometrial biopsy and treated with medication only. Taiwan J Obstet Gynecol. 2014;53(4):588-91.

Kavitha A, Kavita V. An Uncommon Culprit: A Case Report of Ovarian Actinomycosis. Glob J Reproduct Med. 2024;11(1):555804.

Yang Z, Kuo DM, Liou JD, Lo LM, Chen KC, Hsieh TT. Pelvic actinomycosis involving the lungs with ascites and pelvic lymphadenopathy. Int J Gynaecol Obstet. 2008;102(3):294-5.

Koo YJ, Kwon YS, Shim JU, Mok JE. Predictors associated with severity of pelvic actinomycosis. J Obstet Gynaecol Res. 2011;37:1792-6.

Ferrari TC, Couto CA, Murta-Oliveira C, Conceição SA, Silva RG. Actinomycosis of the colon: a rare form of presentation. Scand J Gastroenterol. 2000;35(1):108-9.

Carrara J, Hervy B, Dabi Y, Illac C, Haddad B, Skalli D et al. Added-value of endometrial biopsy in the diagnostic and therapeutic strategy for pelvic actinomycosis. J Clin Med. 2020;9(3):821.

Cintron JR, Del Pino A, Duarte B, Wood D. Abdominal actinomycosis. Dis Colon Rectum. 1996;39(1):105-8.

Holmberg K, Nord CE, Dornbusch K. Antimicrobial in vitro susceptibility of actinomyces israelii and arachnia propionica. Scand J Infect Dis. 1977;9(1):40-5.

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Published

2026-08-27

How to Cite

Kaushal, V., Verma, A., Sharma, A., Rana, D., & Dogra, T. (2026). The great pretender: ovarian actinomycosis presenting as pelvic inflammatory disease mimicking ovarian malignancy – a rare case report . International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 15(9), 3684–3687. https://doi.org/10.18203/2320-1770.ijrcog20263062

Issue

Section

Case Reports