Bilateral tubo-ovarian actinomycosis in the presence of an intrauterine device: a case report.

An uncommon case of actinomycosis found in bilateral tubo-ovarian abscess is presented. Preoperatively, bilateral ovarian tumors were initially suspected by pelvic examination and ultrasonography. The patient received total abdominal hysterectomy and bilateral salpingo-oophorectomy. The initial pathology frozen section report showed abscess without evidence of malignancy. The final pathological finding revealed actinomycosis in bilateral tubo-ovarian abscess. In addition, an intrauterine contraceptive device, Copper-T, was found in the uterine cavity. The radiologic findings, gross pathological feature, histopathological pictures and treatment of pelvic actinomycosis are discussed, with review of the literature in English.