Urinary undiversion for pelvic actinomycosis: A long-term follow up

Background: A 43-year-old woman who had been using intrauterine contracepti ve devices for the past 10 years underwent an emergency operation for bowel and urinary obstruction. Methods/Results: Frozen section analysis showed undifferentiated adenocarci noma. incomplete tumorectomy, ileal resection, partial cystectomy, colostom y and bilateral ureterocutaneostomy were palliatively performed. Postoperat ively, periodic acid-Schiff and Grocott-Gomori methenamine tests revealed A ctinomyces and the final diagnosis was pelvic actinomycosis. Treatment with penicillin G administered intravenously relieved her symptoms and the lesi on was dramatically improved. The patient underwent colostomy closure and u rinary undiversion. Conclusions: Five years after urinary undiversion, the patient's renal func tion has been maintained and she can void without incontinence and dysuria.