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Pelvic actinomycosis presenting as ureteric and rectal stricture
1Department of Surgery, Western Galilee Hospital, Nahariya, Israel.
Digestive Surgery
|October 29, 2000
Summary
Pelvic actinomycosis can cause rare simultaneous ureteric and rectal strictures. Biopsying pelvic masses is crucial for diagnosis and preventing misdiagnosis before major surgery.
Area of Science:
- Urology
- Infectious Diseases
- Gastroenterology
Background:
- Pelvic actinomycosis is a rare bacterial infection.
- Simultaneous ureteric and rectal strictures are exceptionally uncommon manifestations.
Observation:
- A 63-year-old male presented with simultaneous strictures of the rectum and right ureter.
- Exploratory laparotomy and biopsies confirmed pelvic actinomycosis as the cause.
Findings:
- The patient underwent a temporary diverting colostomy and right ureteric drainage.
- Postoperative antibiotic treatment successfully resolved the inflammatory process.
Implications:
- This case highlights the importance of considering pelvic actinomycosis in extensive pelvic masses.
- Biopsy of pelvic masses is essential for accurate diagnosis before extensive surgical intervention.
- Early diagnosis and appropriate antibiotic therapy are key to successful management.
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