Ureteral obstruction and reconstruction in pelvic actinomycosis.
We present a case of ureteral obstruction secondary to pelvic actinomycosis. Despite stenting, prolonged antibiotic therapy, and debridement, the patient required ureteral resection and reconstruction. This condition may simulate advanced malignancy, and diagnostic suspicion lessens the need for radical extirpative surgery.
Bercovich
Abraham
A
Department of Urology, Kaplan Medical Center, Rehovot, Israel.
Guy
Marius
M
Karayiannakis
Anastasios J
AJ
Gdalia
Mordechai
M
Muriel
Evyatar
E
Dgani
Rami
R
Zbar
Andrew P
AP
D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D000658:Amoxicillin / Q000627:therapeutic use; D003559:Cystostomy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D034161:Pelvic Infection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010386:Pelvic Neoplasms / Q000175:diagnosis; D010406:Penicillins / Q000627:therapeutic use; D015607:Stents; D014513:Ureter / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery*
D010406:Penicillins; D000658:Amoxicillin