title: [Actinomycosis of the bladder].
abstract: A palpable tumour was discovered in the left lower abdomen of a 66-year-old woman with uncharacteristic lower-abdominal pain and treatment-resistant pollakisuria and stress incontinence. On ultrasound examination the tumour was about 6.0 x 2.5 x 2.5 cm in size and was located between bladder roof and anterior abdominal wall. Ultrasound-guided fine-needle biopsy failed to produce any cytologically interpretable material, and there was no bacterial growth from the aspirate. All clinical and biochemical findings were normal, except for a raised blood-sedimentation rate (15/43 mm). The tumour, completely removed at laparotomy, was diagnosed to be actinomycosis of the bladder. No long-term postoperative antibiotic treatment was undertaken. Nine months after the operation the patient was without symptoms and there were no abnormal clinical findings.
authors.affiliation: Chirurgische Klinik, Kreiskrankenhauses Lemgo.
authors.forename: V
authors.initials: V
authors.lastname: Mickley
authors.forename: B
authors.initials: B
authors.lastname: Reismann
authors.forename: G
authors.initials: G
authors.lastname: Rahlf
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D014463:Ultrasonography; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000601:surgery
vernacular_title: Aktinomykose der Harnblase.