Korean J Urol.
2003 Nov;44(11):1184-1186.
Ureteral Obstruction Caused by Pelvic Actinomycosis
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- 1Department of Urology, College of Medicine, Kyungpook National University, Daegu, Korea. uropark@knu.ac.kr
Abstract
- Actinomycosis is a chronic suppurative granulomatous disease caused by anaerobic gram positive Actinomyces. Pelvic actinomycosis is a rare, but not unusual complication in the use of intrauterine contraceptive devices. In most cases, unilateral or bilateral tubo-ovarian abscesses are present. Pelvic actinomycosis can lead to pelvic inflammatory disease, abdominal wall abscess, vesico-uterine fistula, ureteral obstruction, ileopelvic fistula, and pyometra. Only a few cases of ureteral obstruction caused by pelvic actinomycosis in intrauterine contraceptive device users have been reported. We report a case of ureteral obstruction caused by pelvic actinomycosis in a patient with an intrauterine contraceptive device.
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