{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T15:55:43Z","timestamp":1765382143977,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,9,4]]},"abstract":"<jats:p>Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. The symptoms, clinical signs and radiological findings are usually non-specific, mimicking an ovarian malignancy. So an awareness of this rare condition and a proper diagnosis can avoid unnecessary surgeries because these cases can be treated with a prolonged course of antibiotics. We present a case of pelvic actinomycosis which masqueraded as an ovarian malignancy.<\/jats:p>","DOI":"10.1136\/bcr-2018-225564","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T13:55:21Z","timestamp":1537365321000},"page":"bcr-2018-225564","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare cause of ovarian mass"],"prefix":"10.1136","volume":"2018","author":[{"given":"Deepa","family":"Shunmugam","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sundaram","family":"Shanmugasundaram","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anitha","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/2053-6844-1-5","article-title":"Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases, management reflections and literature review","volume":"1","author":"Laios","year":"2014","journal-title":"Gynecol Oncol Res Pract"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.2","doi-asserted-by":"crossref","first-page":"921","DOI":"10.18203\/2320-1770.ijrcog20160614","article-title":"Pelvic actinomycosis: unrelated to prior intrauterine device use","volume":"5","author":"Ebenezer","year":"2016","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.3","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/6094587"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.4","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.gyobfe.2016.01.003","article-title":"Pelvic actinomycosis: diagnostic and therapeutic aspects","volume":"44","author":"Mbarki","year":"2016","journal-title":"Gynecol Obstet Fertil"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.5","first-page":"25","article-title":"Pelvic actinomycosis associated with use of intrauterine device: a new challenge for the surgeon","volume":"48","author":"Doberneck","year":"1982","journal-title":"Am Surg"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.6","doi-asserted-by":"crossref","unstructured":"Russo TA . Agents of actinomycosis. In: Mandell GL , Bennett JE , Dolin R , eds. Mandell, Douglas, and Bennett\u2019s principles and practice of infectious diseases. 7th edn. Philadelphia, Pa: Churchill Liv- ingstone Elsevier, 2010:3209\u201319.","DOI":"10.1016\/B978-0-443-06839-3.00255-1"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.7","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.161.4.8372760"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.8","first-page":"3","article-title":"Pelvic actinomycosis mimicking ovarian cancer: a report of 3 cases and review of the literature","volume":"1","author":"Wan","year":"2014","journal-title":"Austin J Obstet Gynecol"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.9","unstructured":"Shah NH , Khambati B , Paranjpe SH , et al , 2015. Actinomycosis of ovary\u00a0\u2013 resurgence JPGO;2 http:\/\/www.jpgo.org\/2015\/11\/actinomycosis-of-ovary-resurgence.html"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.10","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3109\/01443619209029915","article-title":"Pelvic actinomycosis","volume":"12","author":"Seligman","year":"1992","journal-title":"J Obstet Gynaecol"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.11","doi-asserted-by":"publisher","DOI":"10.1086\/516337"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.12","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1148\/radiol.2362031034","article-title":"Case 85: pelvic actinomycosis in association with an intrauterine device","volume":"236","author":"Lely","year":"2005","journal-title":"Radiology"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.13","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1148\/rg.246045016","article-title":"Unusual causes of tubo-ovarian abscess: CT and MR imaging findings","volume":"24","author":"Kim","year":"2004","journal-title":"Radiographics"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.14","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1006\/gyno.2000.5994","article-title":"Computed tomography guided core needle biopsy diagnosis of pelvic actinomycosis","volume":"79","author":"Lee","year":"2000","journal-title":"Gynecol Oncol"},{"issue":"2","key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.15","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.fertnstert.2013.04.018","article-title":"Actinomycosis pelvic abscess after in\u00a0vitro fertilization","volume":"100","author":"Asemota","year":"2013","journal-title":"Fertil Steril"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.16","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.tjog.2013.08.010","article-title":"Pelvic actinomycosis with abundant ascites, pleural effusion, and lymphadenopathy diagnosed with endometrial biopsy and treated with medication only","volume":"53","author":"Kim","year":"2014","journal-title":"Taiwan J Obstet Gynecol"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.17","doi-asserted-by":"crossref","first-page":"44","DOI":"10.14712\/23362936.2015.36","article-title":"Case report: pelvic actinomycosis","volume":"113","author":"Maxov\u00e1","year":"2012","journal-title":"Prague Med Rep"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.18","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/1752-1947-1-141","article-title":"Pelvic actinomycosis presenting with a large abscess and bowel stenosis with marked response to conservative treatment: a case report","volume":"1","author":"Nozawa","year":"2007","journal-title":"J Med Case Rep"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00673.x"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.20","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1975.00330120040006"},{"key":"2025082804494379000_2018.sep19_1.bcr-2018-225564.21","doi-asserted-by":"publisher","DOI":"10.1148\/rg.341135077"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:49:49Z","timestamp":1756381789000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,19]]},"references-count":21,"alternative-id":["10.1136\/bcr-2018-225564"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225564","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,9,19]]}}}