Renal, colonic and retroperitoneal actinomycosis - A case report
Department of General Surgery and Urology, Causeway Hospitals Trust Coleraine, Northern Ireland, United Kingdom.West African journal of medicine 05/2006; 24(4):343-5. DOI: 10.4314/wajm.v24i4.28230
An unusual case of actinomycosis involving the kidney, retroperitoneum and colon is reported. A 41 year old patient with two weeks history of loin pain was found to have a palpable renal mass on clinical examination. Imaging revealed a solid mass arising from the left kidney, invading the retroperitoneum suggestive of an invasive hypernephroma. A nephrectomy, partial resection of psoas and colonic resection with end to end anastomosis was performed. Histopathology revealed renal actinomycosis with involvement of the adjacent colon and retroperitoneum. He recovered well after surgery and was treated with penicillin for one year. Five years have elapsed since presentation without any evidence of clinical recurrence. Abdominal actinomycosis though rare, should be borne in mind while investigating patients presenting with an abdominal mass.
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ABSTRACT: Actinomycosis of the kidney is rare and less than 50 cases have been reported in the English literature. Reported presentations are pyelonephritis, renal abscesses or pyonephrosis. To date, one case of actinomycosis associated necrotising papillitis has been reported. We describe the second case of such a rare association of actinomycosis with papillary necrosis. 2014 BMJ Publishing Group Ltd.