Perforated Diverticulosis Complicated with Actinomycosis and Presented as Pelvic Malignancy
نویسنده
چکیده
A 48-year-old nonsmoker female with no significant past medical history is admitted to the hospital with lower abdominal pain, fatigue, yellow vaginal discharge and unintentionally weight loss. On physical examination there was a palpable mass extending from supra-pubic to supra-umbilical area and significant foul-smelling vaginal discharge. Computerized tomography of Pelvis revealed a mass like structure but biopsy showed acute inflammatory process with smooth muscle proliferation and fibro-adipose tissue infiltrated with histiocytes. Pathology revealed colonies of Actinomyces. Introduction Actinomycetes are prominent among the normal flora of the oral cavity but less prominent in the lower gastrointestinal tract and female genital tract. Herein, we present a case of middle age female who presented with severe anemia and images showed mass concerning about Uterine/Cervical cancer. Further evluaion including laparotomy revealed intra-abdominal
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