Ureteral Obstruction Caused by Pelvic Actinomycosis / 대한비뇨기과학회지

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.