Urinary undiversion for pelvic actinomycosis: A long-term follow up

Hiroshi Maeda, Yasumasa Shichiri, Hidehumi Kinoshita, Kazutoshi Okubo, Takashi Okada, Yoshitaka Aoki, Shinya Maekawa, Yoichi Arai

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Background: A 43-year-old woman who had been using intrauterine contraceptive devices for the past 10 years underwent an emergency operation for bowel and urinary obstruction. Methods/Results: Frozen section analysis showed undifferentiated adenocarcinoma. Incomplete tumorectomy, ileal resection, partial cystectomy, colostomy and bilateral ureterocutaneostomy were palliatively performed. Postoperatively, periodic acid-Schiff and Grocott-Gomori methenamine tests revealed Actinomyces and the final diagnosis was pelvic actinomycosis. Treatment with penicillin G administered intravenously relieved her symptoms and the lesion was dramatically improved. The patient underwent colostomy closure and urinary undiversion. Conclusions: Five years after urinary undiversion, the patient's renal function has been maintained and she can void without incontinence and dysuria.

Original languageEnglish
Pages (from-to)111-113
Number of pages3
JournalInternational Journal of Urology
Volume6
Issue number2
DOIs
Publication statusPublished - 1999

Keywords

  • Intrauterine contraceptive device
  • Pelvic actinomycosis
  • Urinary undiversion

ASJC Scopus subject areas

  • Urology

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