Abdominal Actinomycosis—an Interesting Case

Bhuiyan, Aniruddha; Chaitanya, KasiK; Mahajan, Vandana; Vikram, H N; Mukherjee, Avijeet; Vasudevaiah, Thulasi; Srinath, R

doi:10.1007/s12262-011-0359-6

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Draining the abscesses and resecting the injured tissue is performed by some surgeons when clinical and radiological findings do not resolve after 4–6 weeks of antibiotic therapy. However, surgical management should be reserved for urgent cases with acute abdomen, intestinal or ureteral obstruction, intractable sinuses and in cases with an unreached diagnosis [ 11 ]. It has been shown that genitourinary actinomycosis usually requires high doses of prolonged intravenous antibiotics when compared with the other forms of the disease [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

et al. 2021

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Pelvic actinomycosis is an uncommon chronic invasive disease caused by a bacteria of the Actinomyces spp. Its diagnosis constitutes a clinical challenge and is usually reached in the postoperative period after resecting a pelvic mass that usually mimics advanced ovarian cancer. Although pelvic actinomyocosis involving the digestive and genital tract has been commonly described, very few reports have described cases involving both ovaries and requiring partial cystectomy for bladder involvement. Herein, we illustrate a case of pelvic actinomycosis with extensive involvement of multiple pelvic organs, misleading the surgeon into undergoing a complete clearance of the wrongfully thought adnexal malignancy.

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Section: Discussionmentioning

confidence: 99%

A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

et al. 2021

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“…Infection occurs due to a destruction of mucosal barriers including perforated bowel, endoscopic procedures, dental procedures, trauma, appendectomy, intrauterine devices or idiopathic [4] . Presiding mucosal injury actinomycosis causes granulamatous inflammation they have tendency to form mass with adjacent infiltration followed by abscess progressing to adjacent fistulization.…”

Section: Discussionmentioning

confidence: 99%

A rare case of abdominal actinomycosis mimicking right iliac fossa mass

Ambujam¹,

Muthalaichamy²,

Shanmugasundaram³

et al. 2020

Int. J. Surg. Sci.

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Abdominal actinomycosisis a chronic suppurative infection caused by actinomyces species commonly misdiagnosed as carcinomatous growth. The infection has a tendency to infiltrate adjacent tissues and is therefore rarely confined to a single organ. Herein, 53 year old male was presenting w ith right subacute intestinal obstruction. Surgery revealed infiltrative bowel mass involving the small bowel mesentry invoving distal ileum, strongly suggestive of malignancy. The patient underwent a right hemicolectomy with oncological principles and the histological examination of the specimen revealed ileocolic actinomycosis. Preoperative diagnosis is difficult to differentiate from malignancy. In any inflammatory or infiltrative bowel mass the differential diagnosis of actinomycosis should be considered and enabling accurate diagnosis.

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“…Las colonias crecen en medio anaerobio en una semana, aproximadamente, y los gránulos de azufre se observan solo en 50 % de los casos; sin embargo, este último no es un hallazgo patognomónico debido a que otros microorganismos como Nocardia spp. y Streptomyces spp., pueden desarrollar agregados que recuerdan estos gránulos 10,13,17 . Estos gránulos actinomicóticos tienen una reacción positiva con las tinciones de ácido peryódico de Schiff y Grocott, pero son negativos con la reacción de Kossa 10,18 .…”

Section: Figura 4 Segmento Del Colon Con Masa Prominente En Pared Del...unclassified

Actinomicosis abdominal que simula neoplasia tumoral maligna del colon

Redondo¹,

Redondo²,

Miranda³

et al. 2016

Rev Colomb Cir

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La actinomicosis es una enfermedad infecciosa crónica, infrecuente y progresiva. El diagnóstico es difícil y puede llegar a enmascararse con procesos inflamatorios del colon o neoplasias malignas. El principal agente patógeno es Actinomyces israelii. Frecuentemente, se encuentra como flora endógena de la mucosa del tubo digestivo; sin embargo, en ocasiones se produce disrupción de la mucosa, lo cual origina una enfermedad inflamatoria granulomatosa, crónica, con manifestaciones clínicas diversas. Menos del 20 % de los pacientes tienen más de 60 años, como el presente caso, y se manifiesta predominantemente en el sexo femenino (65 %) en localización abdominal. El tratamiento combina la resección tumoral con antibioticoterapia prolongada, lográndose una evolución satisfactoria. Se presenta el caso clínico de un hombre de 68 años de edad con dolor en el flanco y la fosa iliaca derechos, asociado a sensación de masa, astenia, adinamia y pérdida de peso. En la fosa iliaca y el flanco derechos, se palpaba una masa indurada mal delimitada, de 10 x 5 cm, dolorosa y sin signos de irritación peritoneal. Las imágenes diagnósticas, ecografía abdominal total y tomografía axial con contraste, sugirieron una neoplasia en el flanco derecho. En la colonoscopia no se demostraron lesiones en su luz. Se le practicó una hemicolectomía derecha con anastomosis íleon-colon y en el estudio histopatológico se demostró un pseudotumor inflamatorio secundario a actinomicosis abdominal. La actinomicosis abdominal es un reto diagnóstico preoperatorio debido a su baja incidencia, por ello, es importante conocer la entidad y lograr sospecharla.

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Abdominal Actinomycosis—an Interesting Case

Cited by 5 publications

References 6 publications

A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

A rare case of abdominal actinomycosis mimicking right iliac fossa mass

Actinomicosis abdominal que simula neoplasia tumoral maligna del colon

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