PRIMARY ACTINOMYCOSIS OF THE URINARY-BLADDER - CASE-REPORT AND REVIEWOF THE LITERATURE

The case of a female patient, aged 37, with signs of partial intestina l obstruction, repeated cystitis and a tumoral mass in the hypogastriu m is reported. Preoperative examinations could not establish the natur e of the tumour. Colonoscopy as well as barium enema stopped at a shar p angulation of the sigmoid. Laparotomy evidenced an inflammatory tumo ur, with departure point in the urinary bladder, which involved the si gmoid and the uterus. After adhesiotomy a partial cystectomy was perfo rmed. The macroscopic aspect of the bladder was pseudopolypoid, while the microscopic one was typical for actinomycosis. The patient was dis charged cured and was prescribed a penicillin course for 4 weeks.