Background/Aims: Simultaneous ureteric and rectal stricture due to pelvic a
ctinomycosis is very rare and only a few cases of either rectal or ureteric
stricture have been reported. Our aim is to report a case of stricture of
the rectum and the right ureter due to pelvic actinomycosis infection in a
63-year-old man. Methods: Explorative laparotomy and biopsies of the inflam
matory pelvic mass were the only procedures that led to the definitive diag
nosis of actinomycosis. Temporary diverting colostomy, drainage of the righ
t ureter by a pigtail catheter and postoperative treatment with appropriate
antibiotics were successful in eradicating the inflammaton/process. Conclu
sions: Extensive pelvic masses involving pelvic viscera should be biopsied
before undertaking any major surgery because of the possibility of pelvic a
ctinomycosis. Copyright (C) 2000 S. Karger AG, Basel.