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[Actinomycosis of the bladder]
V Mickley1, B Reismann, G Rahlf
1Chirurgische Klinik, Kreiskrankenhauses Lemgo.
Deutsche Medizinische Wochenschrift (1946)
|September 29, 1989
Summary
A 66-year-old woman presented with abdominal pain and urinary incontinence. Surgical removal revealed actinomycosis of the bladder, a rare condition, with the patient recovering well post-operation.
Area of Science:
- Urology
- Pathology
- Infectious Diseases
Background:
- Pelvic actinomycosis is a rare bacterial infection.
- It can mimic neoplastic or inflammatory conditions.
- Diagnosis is often challenging due to non-specific symptoms.
Observation:
- A 66-year-old woman presented with lower abdominal pain, pollakisuria, and stress incontinence.
- Ultrasound revealed a 6.0 x 2.5 x 2.5 cm tumor between the bladder roof and anterior abdominal wall.
- Fine-needle biopsy yielded non-diagnostic material, and cultures were negative.
Findings:
- Laparotomy and tumor excision were performed.
- Histopathological examination confirmed actinomycosis of the bladder.
- No long-term antibiotic therapy was administered post-surgery.
Implications:
- Actinomycosis should be considered in the differential diagnosis of pelvic masses, even with negative initial investigations.
- Complete surgical excision may be curative for bladder actinomycosis.
- This case highlights the importance of considering rare infections in unexplained pelvic symptoms.