Urachal Actinomycosis: Report of a Case.
- Author:
Hyuk June LEE
1
;
Geom Su OH
;
Moon Kee CHUNG
Author Information
1. Department of Urology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Urachus
- MeSH:
Abdominal Pain;
Actinomycosis*;
Appendix;
Colon, Sigmoid;
Fallopian Tubes;
Female;
Follow-Up Studies;
Humans;
Lymphocele;
Magnetic Resonance Imaging;
Ovary;
Pelvis;
Penicillin G;
Umbilicus;
Urachus;
Urinary Bladder
- From:Korean Journal of Urology
1999;40(7):933-936
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.