Abstract
Pelvic actinomycosis is rare. It has an insidious onset, and the clinical features may mimic tuboovarian abscess, pelvic malignancies or retroperitoneal tumors. We report the case of a 35-year-old woman with right adnexal mass, right hydroureter and hydronephrosis. She was explored elsewhere for ovarian tumor, declared inoperable and referred to our institute for further management. Ultrasound guided true-cut biopsy showed spindle cell tumor; hence, decision for re-exploration was taken. The final diagnosis of actinomycosis was made on histopathological examination of the specimen. The case is reported because of its rarity and the diagnostic dilemma it presented.
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