Pelvic Actinomycosis

chronic polymicrobial inflammatory mass that can mimic pelvic malignancy.
It usually occurs after prolonged intrauterine contraceptive device (IUD) use.
Symptoms of pelvic actinomycosis are nonspecific and include pelvic pain, abnormal cervical discharge, abnormal bleeding (either intermenstrual or postcoital) and weight loss.
Rx: amoxicillin plus metronidazole (remove IUD)
Antibiotic therapy for at least 6 months and removal of the intrauterine contraceptive device can lead to complete resolution, but surgical intervention may also be necessar