Just Another Pelvic Mass?

  • Pablo Ruiz-Sada 5th year Resident, Internal Medicine, HCU Basurto, Bilbao, Spain
  • Julia Ruiz-Sada 3th year Resident, Obstetrics and Gynaecology, HU Miguel Servet, Zaragoza, Spain.
  • Javier Ángel López De la Osa 5th year Resident, Internal Medicine, HCU Cruces, Barakaldo, Spain
  • Esther Niño Aragón 5th year Resident, Internal Medicine, Fundació Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Spain
  • Mikel Escalante PhD Consultant, Internal Medicine, HCU Basurto, Bilbao, Spain

Keywords

Wasting syndrome, actinomycosis, pelvic mass

Abstract

Objectives: To describe the case of a patient presenting with weight loss and a pelvic mass.

Materials and methods: We performed an advanced search in MEDLINE using the key words "wasting syndrome", "actinomycosis" and "pelvic mass".

Results: A 63-year-old woman had a well-delimited and tender pelvic mass and was found to be anaemic. Before scans were performed, clinicians considered malignancy and other diagnoses.

Conclusion: Actinomycosis is a chronic infection that usually affects the abdomen. Because of the lack of specificity of clinical and radiological findings, a multidisciplinary approach is the keypoint for making an accurate diagnosis.

Author Biographies

Pablo Ruiz-Sada,
5th year Resident, Internal Medicine, HCU Basurto, Bilbao, Spain

Internal Medicine department

5th year Resident

Julia Ruiz-Sada,
3th year Resident, Obstetrics and Gynaecology, HU Miguel Servet, Zaragoza, Spain.

Obstetrics and Gynaecology

3th year Resident

Javier Ángel López De la Osa,
5th year Resident, Internal Medicine, HCU Cruces, Barakaldo, Spain

internal Medicine

5th year Resident

Esther Niño Aragón,
5th year Resident, Internal Medicine, Fundació Hospital de l'Esperit Sant, Santa Coloma de Gramenet, Spain

Internal Medicine

5th year Resident

Mikel Escalante,
PhD Consultant, Internal Medicine, HCU Basurto, Bilbao, Spain Internal Medicine. PhD Doctor

References

  • Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007;5: 441–448.

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

  • Galata CL, Vogelmann R, Gaiser T, Post S, Horisberger K. Abdominopelvic actinomycosis in three different locations with invasion of the abdominal wall and ureteric obstruction: An uncommon presentation. Int J Surg Case Rep 2015;12:48–51.

  • Zamani F, Sohrabi M. Clinical, endoscopic, and histopathological aspects of sigmoid actinomycosis; a case report and literature review. Middle East J Dig Dis 2015;7:41–44.

  • Pavlik EJ, Ueland FR, Miller RW, et al. Frequency and disposition of ovarian abnormalities followed with serial transvaginal ultrasonography. Obstet Gynecol 2013;122:210.
  • Published: 2015-09-09

    Issue: Vol 2 No 5 (2015) (view)

    Section: Articles

    How to cite:
    Ruiz-Sada, P., Ruiz-Sada, J., López De la Osa, J. Ángel, Niño Aragón, E., & Escalante, M. (2015). Just Another Pelvic Mass?. European Journal of Case Reports in Internal Medicine, 2(5). https://doi.org/https://doi.org/10.12890/2015_000269