Korean J Urol.
1999 Jul;40(7):933-936.
Urachal Actinomycosis: Report of a Case
- Affiliations
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- 1Department of Urology, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
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We present a case of urachal actinomycosis. Twenty four year-old female patient presented with low abdominal pain and a palpable mass. MRI showed an irregular shaped mass extending from the umbilicus to the dome of the bladder, just beneath the rectus muscle. Exploration revealed a hard fibrotic mass which was adhered tightly with appendix, dome of the bladder, left ovary, fallopian tube and sigmoid colon. The ill-defined fibrotic mass with the adhered organ was removed as en bloc. Actinomycosis was diagnosed from the postoperative specimen. Penicillin G was administered postoperatively. At 1 year followup, she is well without subjective symptom except mild frequency and lymphocele in right pelvis, which was aspirated.