Pelvic actinomycosis presenting as ureteric and rectal stricture

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.