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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
PubMed
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.

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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.

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