Korean J Nephrol.
2002 Mar;21(2):337-340.
A Case of Hydronephrosis as a Complication of Pelvic Actinomycotic Abscess
- Affiliations
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- 1Department of Internal Medicine, Eulji Medical College, Seoul, Korea. ljg1128@eulji.or.kr
- 2Department of Genernal Surgery, Eulji Medical College, Seoul, Korea.
- 3Department of Pathology, Eulji Medical College, Seoul, Korea.
- 4Department of Radiology, Eulji Medical College, Seoul, Korea.
Abstract
- Pelvic actinomycosis is a chronic granulomatous suppurative disease caused by an anaerobic gram- positive organism Actinomyces israelii. It is commonly associated with an intrauterine device(IUD) and can mimick pelvic or intra-abdominal malignant neoplasm. Ureteral obstruction leading to hydronephrosis is a rare complication of tubo-ovarian abscess. We experienced a case of hydronephrosis as a complication of pelvic actinomycotic abscess. The patient was a 46-year-old women presenting with fever and right flank pain. Leukocytosis and pyuria were present and a hydronephrosis was diagnosed by intravenous pyelography. Ultrasonography and a computerised tomography revealed a mass in right adnexum compressing the right ureter. Removal of retroperitoneal abscess and salphingo-oophorectomy were done and the diagnosis of actinomycosis was made by pathologic finding of resected mass. Postoperatively, the patient was treated with second-generation cephalosporin successfully.
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