Nilsen ERDOĞAN YILDIRIM, Yalçın ERDOĞAN, Onur BAŞARAN

Over tümörünü taklit eden Tuba-ovaryan yerleşimli pelvik aktinomikozis: Olgu sunumu

Aktinomikozis, Actinomyces Israeli 'nin neden olduğu kronik, süpüratif, granülomatöz, pelvik tutulumun nadir olduğu bakteriyel bir enfeksiyondur. Ancak rahim içi araç gibi mikroorganizmaların pelvise ulaşımının kolaylaştığı durumlarla ilişkisi iyi tanımlanmış klinik bir antitedir. Rahim içi araç kullananların rutin Pap smear taramalarında Aktinomiçes benzeri mikroorganizmaların görülmesi ile semptomatik hale gelmeden tanısı konulabilir. Ancak, bu taramaları yaptırmayan hastalarda sıklıkla pelvik inflamatuar hastalık kliniği ile karşımıza çıkar. Bu çalışmada 27yaşında 'ovarian kitle'ön tanısı ile öpere edilen hastada yapılan histopatolojik inceleme ile saptanmış olan tuba-ovarian lokalizasyonda tutulum gösteren pelvik aktinomikoz olgusu sunulmaktadır.

Anahtar Kelimeler:

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Pelvic actinomycosis with tuboovarian invelvement mimicking ovarian neoplasm: Case report

Actinomycosis is a chronic, suppurative, granulomatous bacterial infection caused by Actinomyces Israeli with rarely involment of pelvis. However, it is a clinical entity that its relationship with the conditions of facilitated access of microorganisms to pelvis such as intrauterine devices, well-defined. It can be diagnosed before they becoming symptomatic, with the seeing actinomyces-like organisms in routine Pap smear screening of intrauterine device users. But, in patients who have not these screenings, it often appears with of pelvic inflammatory disease clinic. In this report, a pelvic actinomycosis case which showed involvement of tuba-ovarian localization and was determined with histopathological examination in a 27 years old patient, who was operated with the prediagnosis of an ovarian mass, is presented.

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