Primary actinomycosis of the urinary bladder. Case report and review of the literature.
The case of a female patient, aged 37, with signs of partial intestinal obstruction, repeated cystitis and a tumoral mass in the hypogastrium is reported. Preoperative examinations could not establish the nature of the tumour. Colonoscopy as well as barium enema stopped at a sharp angulation of the sigmoid. Laparotomy evidenced an inflammatory tumour, with departure point in the urinary bladder, which involved the sigmoid and the uterus. After adhesiotomy a partial cystectomy was performed. The macroscopic aspect of the bladder was pseudopolypoid, while the microscopic one was typical for actinomycosis. The patient was discharged cured and was prescribed a penicillin course for 4 weeks.
Duca
S
S
Surgical Clinic No. 3, University of Medicine and Pharmacy, Cluj, Romania.
Bala
O
O
Hotait
M
M
Barbonta
C
C
Ban
A
A
D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D015653:Cystectomy / Q000379:methods; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D010406:Penicillins / Q000627:therapeutic use; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery
D010406:Penicillins