title: Ureteral obstruction and reconstruction in pelvic actinomycosis.
abstract: 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.
authors.affiliation: Department of Urology, Kaplan Medical Center, Rehovot, Israel.
authors.forename: Abraham
authors.initials: A
authors.lastname: Bercovich
authors.forename: Marius
authors.initials: M
authors.lastname: Guy
authors.forename: Anastasios J
authors.initials: AJ
authors.lastname: Karayiannakis
authors.forename: Mordechai
authors.initials: M
authors.lastname: Gdalia
authors.forename: Evyatar
authors.initials: E
authors.lastname: Muriel
authors.forename: Rami
authors.initials: R
authors.lastname: Dgani
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Zbar
mesh_terms: 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*
chemical_list: D010406:Penicillins; D000658:Amoxicillin