{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:13:52Z","timestamp":1789578832732,"version":"build-2803163510"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Actinomycosis is a rare chronic bacterial infection, with pelvic involvement accounting for ~5% of cases. Surgery may be required if there is intestinal obstruction, abscess formation, severe infection, or if malignancy cannot be excluded. We report a 46-year-old woman with a 12-year history of an intrauterine device, presenting with abdominal pain, vomiting, constipation, lethargy, and malaise. Examination revealed abdominal distension, tenderness, and a left iliac fossa mass. Computed tomography imaging showed a complex, infiltrative pelvic mass involving the sigmoid colon and adjacent structures, including the small bowel, causing a closed-loop small bowel obstruction and raising suspicion of malignancy. She underwent emergency laparotomy with small bowel resection and anastomosis, Hartmann\u2019s procedure, and bilateral ureteric stent insertion. Histology confirmed actinomycosis. She recovered well and commenced a 1-year antibiotic course. Pelvic actinomycosis demands a multidisciplinary approach with combined surgical and medical management due to its complex presentation and tendency to mimic other conditions.<\/jats:p>","DOI":"10.1093\/jscr\/rjag097","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T12:53:19Z","timestamp":1770382399000},"source":"Crossref","is-referenced-by-count":2,"title":["Pelvic actinomycosis masquerading as sigmoid cancer: an unusual cause of closed-loop small bowel obstruction"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6179-9379","authenticated-orcid":false,"given":"Nida","family":"Khan","sequence":"first","affiliation":[{"name":"Department of General Surgery, Royal Sussex County Hospital , Brighton BN2 5BE, Eastern Road, Sussex ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"James","sequence":"additional","affiliation":[{"name":"Department of General Surgery, William Harvey Hospital , Kennington Rd, Ashford TN24 0LZ , Kent,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafique Umer","family":"Harvitkar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, St Richard\u2019s Hospital , Spitalfield Ln, Chichester PO19 6SE , Sussex,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Premjithlal","family":"Bhaskaran","sequence":"additional","affiliation":[{"name":"Imperial College , South Kensington, London SW7 2AZ ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christi","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Sussex County Hospital , Brighton BN2 5BE, Eastern Road, Sussex ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"2026022612151592100_ref1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/0378-1119(92)90560-C","article-title":"Actinomycete infections in humans\u2014a review","volume":"115","author":"Schaal","year":"1992","journal-title":"Gene."},{"key":"2026022612151592100_ref2","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1128\/CMR.00100-14","article-title":"Actinomyces and related organisms in human infections","volume":"28","author":"K\u00f6n\u00f6nen","year":"2015","journal-title":"Clin Microbiol Rev"},{"key":"2026022612151592100_ref3","first-page":"1972023","article-title":"Intra-abdominal Actinomycosis mimicking malignant abdominal disease","volume":"2017","author":"Ridha","year":"2017","journal-title":"Case Rep Infect Dis"},{"key":"2026022612151592100_ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-230X-5-1","article-title":"A rare case of ascending colon actinomycosis mimicking cancer","volume":"5","author":"Filippou","year":"2005","journal-title":"BMC Gastroenterol"},{"key":"2026022612151592100_ref5","doi-asserted-by":"publisher","first-page":"183","DOI":"10.2147\/IDR.S39601","article-title":"Actinomycosis: etiology, clinical features, diagnosis, treatment, and management","author":"Valour","year":"2014","journal-title":"Infect Drug Resistance"},{"key":"2026022612151592100_ref6","doi-asserted-by":"publisher","first-page":"1255","DOI":"10.1086\/516337","article-title":"Actinomycosis","volume":"26","author":"Smego","year":"1998","journal-title":"Clin Infect Dis"},{"key":"2026022612151592100_ref7","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1078\/0344-0338-00279","article-title":"Periappendiceal actinomycosis mimicking malignancy. Report of a case","volume":"198","author":"Koren","year":"2002","journal-title":"Pathology-Research and Practice"},{"key":"2026022612151592100_ref8","doi-asserted-by":"publisher","first-page":"d6099","DOI":"10.1136\/bmj.d6099","article-title":"Actinomycosis","volume":"343","author":"Wong","year":"2011","journal-title":"Bmj."},{"key":"2026022612151592100_ref9","doi-asserted-by":"publisher","first-page":"e922601","DOI":"10.12659\/AJCR.922601","article-title":"A case report of pelvic actinomycosis and a literature review","volume":"21","author":"Han","year":"2020","journal-title":"Am J Case Rep"},{"key":"2026022612151592100_ref10","doi-asserted-by":"publisher","first-page":"555","DOI":"10.3349\/ymj.2009.50.4.555","article-title":"Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review","volume":"50","author":"Choi","year":"2009","journal-title":"Yonsei Med J"},{"key":"2026022612151592100_ref11","doi-asserted-by":"crossref","first-page":"2","DOI":"10.7243\/2052-6229-3-2","article-title":"Intra-abdominal actinomycosis, the great mime: case report and literature review","volume":"3","author":"Montori","year":"2015","journal-title":"Emerg Med Heal Care"},{"key":"2026022612151592100_ref12","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/ajo.12191","article-title":"Pelvic tuberculosis, echinococcosis, and actinomycosis: great imitators of ovarian cancer","volume":"54","author":"Ertas","year":"2014","journal-title":"Austral New Zealand J Obstetr Gynaecol"},{"key":"2026022612151592100_ref13","first-page":"195","article-title":"Actinomycosis in histopathology-review of literature","volume":"4","author":"Veenakumari","year":"2017","journal-title":"Int Archiv Integr Med"},{"key":"2026022612151592100_ref14","doi-asserted-by":"publisher","first-page":"43","DOI":"10.4322\/acr.2017.001","article-title":"Abdominal and pelvic actinomycosis due to longstanding intrauterine device: a slow and devastating infection","volume":"7","author":"Nakahira","year":"2017","journal-title":"Autops Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag097\/67137862\/rjag097.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag097\/67137862\/rjag097.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T17:15:22Z","timestamp":1772126122000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag097\/8499711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag097","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,31]]},"article-number":"rjag097"}}