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Revista Cubana de Medicina

On-line version ISSN 1561-302X

Abstract

CHAO PEREIRA, Caridad; PEREZ GOELKEL, Snayder; AGREDA PANTOJA, Andrés  and  VALDES ALVAREZ, Karen. Tumor Presentation of Pelvic Actinomycosis. Rev cubana med [online]. 2017, vol.56, n.2, pp. 133-137. ISSN 1561-302X.

Actinomycosis is an uncommon granulomatous chronic disease caused by gram-positive, anaerobic, microaerophilic bacteria, mainly of the genus Actynomices. We present the case of a 49-year-old woman with a clinical condition of approximately 4 months of evolution due to constipation, associated with rectal tenesmus during defecation and weight loss, carrier of an intrauterine device for 7 years. In the physical examination, the presence of a mass was found, with poorly defined edges, flank anda iliac fossa right, and hypogastrium, not painful on palpation. Abdominal ultrasonography reported a mass in the hepatic caudate lobe and a structure of ill-defined contours in intimate contact with the bladder roof and uterine fundus. The lesion biopsy revealed actinomycosis. It was confirmed in a patient with palpable mass in hypogastrium and intrauterine device placed.

Keywords : actinomycosis; Actynomyces; tumor mass.

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