Pelvic
actinomycosis is an infrequent chronic suppurative granulomatous
disease, caused by a gram-positive bands
Actinomyces israelii. It is often reported as a complicated case of an
intrauterine device (IUD).
Ureteral obstruction and subsequent
hydronephrosis are rare
complications of
pelvic inflammatory disease. Sometimes pelvic actinomyosis is simulating ovarian
malignancy. We
report a case combined with
hydronephrosis, multiple pelvic
lymph nodes enlargements and elevated CA 125 as
complications of pelvic
actinomycosis.