DISSEMINATED ABDOMINAL ACTINOMYCOSIS AS A DIFFERENTIAL-DIAGNOSIS OF GENITAL TUMORS - CASE-REPORT AND REVIEW OF LITERATURE

Genital actinomycosis is rare and leads to a variety of symptoms, so t hat diagnosis is made in most cases after operation only. We report on a 53-year old woman presenting with rapidly growing uterus myomatosus , weight loss and leucocytosis. While preoperative diagnostic examinat ions were suspicious for a malignant process, intraoperative histologi cal evaluation showed evidence of an abscess-forming infection. The fi nal postoperative histological evaluation revealed abdominal actinomyc osis. In a review of the literature, the most important aspects of gen ital actinomycosis are discussed, paying special attention to its role in differential diagnosis.