Franz H B, Strohmaier W L, Geppert M, Wechsel H
Universitäts-Frauenklinik Tübingen.
Geburtshilfe Frauenheilkd. 1992 Aug;52(8):496-8. doi: 10.1055/s-2007-1023797.
We report on a case of a 55-year old patient with a great adnexal tumour (10 x 5 x 8 cm), on the left side with infiltration of the bladder and the pelvis with recurring urinary retention in the kidney. Histological examination revealed an intrauterine device-associated actinomycosis. Following a 6-month high dose penicillin therapy, the abdominal hysterectomy with adnexectomy and partial resection of the bladder with new implantation of the ureter (Boari) was performed. The postoperative period was uneventful, the urogram normal.
我们报告一例55岁患者，左侧有一个巨大附件肿瘤（10×5×8厘米），侵犯膀胱和骨盆，并发肾积水。组织学检查显示为宫内节育器相关放线菌病。经过6个月的大剂量青霉素治疗后，进行了腹式子宫切除术、附件切除术及膀胱部分切除术，并重新植入输尿管（鲍里氏手术）。术后恢复顺利，尿路造影正常。
