Vesical And Urachal Actinomycosis - Mimicking Urachal Malignancy: A Case Report.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 2
Abstract
Actinomycosis, a pyogenic granulomatous subacute to chronic infection caused by Actinomyces israelii, may affect any organ of the body, rarely the bladder. We present a case of vesical actinomycosis that mimicked as a urachal tumour. A 55-year-old perimenopausal lady presented with an eight month suprapubic painful firm mass. Computed Tomography showed an 8.5 x 3.5cm ill-defined heterogeneously enhancing solid-cystic mass extending from the bladder dome to the umbilicus with lymphadenopathy suggestive of urachal malignancy. Cystoscopy showed broad base mass in the bladder dome, hence she underwent partial cystectomy with bilateral iliac lymph node dissection. Histopathological examination showed Actinomycosis surrounded by Chronic inflammatory cells. Case reports like this emphasizes the need for a high degree of suspicion and thorough sampling of the specimen if diagnosis is in doubt. And surgery as a primary treatment will contribute to a good prognosis Keywords: Actinomycosis, India, Rare, vesical Abstract Actinomycosis, a pyogenic granulomatous subacute to chronic infection caused by Actinomyces israelii, may affect any organ of the body, rarely the bladder. We present a case of vesical actinomycosis that mimicked as a urachal tumour. A 55-year-old perimenopausal lady presented with an eight month suprapubic painful firm mass. Computed Tomography showed an 8.5 x 3.5cm ill-defined heterogeneously enhancing solid-cystic mass extending from the bladder dome to the umbilicus with lymphadenopathy suggestive of urachal malignancy. Cystoscopy showed broad base mass in the bladder dome, hence she underwent partial cystectomy with bilateral iliac lymph node dissection. Thorough sampling with multiple rebits in Histopathological examination showed Actinomycosis surrounded by Chronic inflammatory cells. Case reports like this emphasizes the need for a high degree of suspicion and thorough sampling of the specimen if diagnosis is in doubt, And surgery as a primary treatment which contributes to a good prognosis.
Authors and Affiliations
Bhalaguru Iyyan
Keywords
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