Retroperitoneal Fibrosis and Hydronephrosis due to Actinomycosis

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Tarih

2009

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Mary Ann Liebert, Inc

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Purpose: In this article, we present a case of actinomycosis causing fibrosis and bilateral obstructive uropathy. Methods: A 43-year-old woman was admitted to the hospital with left flank pain. Abdominal computed tomography showed bilateral hydroureteronephrosis and a malignant mass. The fine-needle aspiration biopsy was reported as retroperitoneal fibrosis. Stents were placed in both ureters. Two (2) months later, laparotomy revealed a mass located just below the origin of the inferior mesenteric artery. Bilateral ureterolysis and sigmoid colon resection was performed. Results: The pathology report was fibrosis and actinomycosis. She was given parenteral crystallized penicillin 4 x 5 million units/day for 21 days, followed by oral cotrimoxazole (960 mg) for 6 months. Conclusions: Because actinomycosis was not diagnosed either radiologically or pathologically, the patient underwent immunosuppressive therapy for 2 months preoperatively.

Açıklama

Anahtar Kelimeler

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Kaynak

Journal of Gynecologic Surgery

WoS Q Değeri

N/A

Scopus Q Değeri

Q4

Cilt

25

Sayı

2

Künye