Intrauterine device-associated actinomycosis of the ovary and urinary bladder: a case report.
Actinomycosis of the urinary bladder is rare, mostly subsequent to abdomino-pelvic infection, and usually affects women with long-term use of an intrauterine device. We describe a case of vesical actinomycosis mimicking a papillary bladder tumour in a 56-year-old woman with primary manifestation of the disease in the genital tract, subjected to two transurethral resections after relapse of a polypoid mass in the bladder. Urological procedures are necessary to differentiate actinomycosis from bladder cancer and the diagnosis is often made histologically.
Bottai
Andrea
A
Clinica Urologica II, University of Florence, Florence, Italy.
Li Marzi
Vincenzo
V
Alessandrini
Marco
M
Villari
Donata
D
Nesi
Gabriella
G
Nicita
Giulio
G
D000196:Actinomycosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D003558:Cystoscopy; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D010052:Ovariectomy; D012008:Recurrence; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis*; D013520:Urologic Surgical Procedures
D000900:Anti-Bacterial Agents