Perplexing Multifocal Abdominopelvic Mass - turned out to be actinomycosis

A 34 year old female presented with complaints of lower abdominal pain and abnormal uterine bleeding for 2 months. On examination subcutaneous swelling on anterior abdominal wall and bilateral pelvic adnexal mass was noted. The lesion was clinically and radiologically, proposed as tumor. Postoperatively on histopathological examination it was diagnosed as multifocal abdominopelvic actinomycosis. Patient was successfully treated with parenteral antibiotics and disease free at follow-up. The nonspecific clinical and radiological features of Actinomycosis are more likely to be misinterpreted as tumor, while making delay in accurate diagnosis. Therefore use of modern ancillary investigatory procedures can help in early appropriate diagnosis and spare the patient from morbid surgical procedures.