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Urinary undiversion for pelvic actinomycosis: A long‐term follow up
Author(s) -
MAEDA HIROSHI,
SHICHIRI YASUMASA,
KINOSHITA HIDEHUMI,
OKUBO KAZUTOSHI,
OKADA TAKASHI,
AOKI YOSHITAKA,
MAEKAWA SHINYA,
ARAI YOICHI
Publication year - 1999
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.1999.00628.x
Subject(s) - medicine , surgery , urinary diversion , colostomy , dysuria , urinary system , actinomycosis , cystectomy , bladder cancer , cancer
Background: A 43‐year‐old woman who had been using intrauterine contraceptive devices for the past 10 years underwent an emergency operation for bowel and urinary obstruction. Methods/Results: Frozen section analysis showed undifferentiated adenocarcinoma. Incomplete tumorectomy, ileal resection, partial cystectomy, colostomy and bilateral ureterocutaneostomy were palliatively performed. Postoperatively, periodic acid‐Schiff and Grocott–Gomori methenamine tests revealed Actinomyces and the final diagnosis was pelvic actinomycosis. Treatment with penicillin G administered intravenously relieved her symptoms and the lesion was dramatically improved. The patient underwent colostomy closure and urinary undiversion. Conclusions: Five years after urinary undiversion, the patient’s renal function has been maintained and she can void without incontinence and dysuria.