A Case of Hydronephrosis as a Complication of Pelvic Actinomycotic Abscess / 대한신장학회잡지
Korean Journal of Nephrology
;
: 337-340, 2002.
Article
in Korean
| WPRIM
| ID: wpr-26669
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyuria
/
Ureter
/
Ureteral Obstruction
/
Actinomyces
/
Actinomycosis
/
Urography
/
Ultrasonography
/
Flank Pain
/
Diagnosis
/
Abscess
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2002
Type:
Article
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