A Uterine Actinomycosis with Extensive Pelvic Involvement

Background: Genitourinary tract actinomycosis is the second most frequent clinical form of actinomycosis. Although it has been recognized for over a century, owing of its infrequent and invasive nature, it often escapes proper diagnosis and mimics malignancy or tuberculosis. Case: This is a case of a uterine actinomycosis with extensive pelvic involvement that was preoperatively impressed as uterine adenomyosis but finally turned out to be a case of pelvic actinomycosis involving uterus, bilateral adnexae, sigmoid, and appendix. Results: Final histopathology revealed actinomycosis of sigmoid colon, endometrium, myometrium bilateral adnexae, and appendix. Conclusions: High index of suspicion and investigation to prove the diagnosis leads to optimum management of genital actinomycosis. (J GYNECOL SURG 36:214)