A Case of Hydronephrosis as a Complication of Pelvic Actinomycotic Abscess.
- Author:
Myeong A CHEONG
1
;
Yu Seoung SEO
;
Jin Su YANG
;
Jun Sup PARK
;
Jin Hoon YOUN
;
Jung Geon LEE
;
Joon Seung LEE
;
Young Kyu LEE
;
Dong Hee KIM
;
Sung Bum CHO
;
Jong Eun JOO
Author Information
1. Department of Internal Medicine, Eulji Medical College, Seoul, Korea. ljg1128@eulji.or.kr
- Publication Type:Case Report
- Keywords:
Intrauterine device;
Hydronephrosis;
Actinomycosis;
Tubo-ovarian abscess
- MeSH:
Abscess*;
Actinomyces;
Actinomycosis;
Diagnosis;
Female;
Fever;
Flank Pain;
Humans;
Hydronephrosis*;
Intrauterine Devices;
Leukocytosis;
Middle Aged;
Pyuria;
Ultrasonography;
Ureter;
Ureteral Obstruction;
Urography
- From:Korean Journal of Nephrology
2002;21(2):337-340
- CountryRepublic of Korea
- Language:Korean
-
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.
