Abdominal Actinomycosis Presenting as Lower Gastrointestinal Bleeding

Kodali, Udayini; Mallavarapu, Ravi K.; Mj, Goldberg

doi:10.1055/s-2003-38782

Cited by 21 publications

(18 citation statements)

References 6 publications

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“…The destruction of the muscular barrier by trauma, that is, endoscopic manipulation, operations, immunosuppression, and chronic inflammatory disease, is recognized as predisposing factors for penetration of Actinomyces bacteria [3]. Several forms of immunosuppression, such as leukemia, lymphoma, renal insufficiency, renal transplant, and diabetes, have been demonstrated to facilitate this process [4].…”

Section: Discussionmentioning

confidence: 99%

Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

Pusiol

Morichetti

Pedrazzani

et al. 2011

Infectious Diseases in Obstetrics and Gynecology

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Abdominal-pelvic actinomycosis is often mistaken for other conditions, presenting a preoperative diagnostic challenge. In a 46-year-old female, computed tomography showed an abdominal-pelvic retroperitoneal mass extending from the lower pole of the right kidney to the lower pelvis. The patient had a 3-year history of intrauterine device. The mass appeared to involve the ascending colon, cecum, distal ileum, right Fallopian tube and ovary, and ureter anteriorly and the psoas muscle posteriorly. The resection of retroperitoneal mass, distal ileum appendicectomy, right hemicolectomy, and right salpingo-oophorectomy was performed. The postoperative period was uneventful. Penicillin therapy was given for six months without any complication. The retroperitoneal mass measured 4.5 × 3.5 × 3 cm, surrounded adjacent organs and histologically showed inflammatory granulomatous tissue, agglomeration of filaments, and sulfur granules of Actinomyces, with positive reaction with periodic acid Schiff. Right tubo-ovarian abscess was present. Abdominalpelvic actinomycosis should always be considered in patients with a pelvic mass especially in ones using intrauterine device.

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Section: Discussionmentioning

confidence: 99%

Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

Pusiol

Morichetti

Pedrazzani

et al. 2011

Infectious Diseases in Obstetrics and Gynecology

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“…These bacteria are te natural flora of mouth cavity especially teeth and tonsil, GI especially appendix and colon, and genital system in human that rarely causes disease. The prevalence of clinical actinomycosis is cervicofacial 50%, abdominal 20%, and thoracic 15%, respectively (1, 2). …”

Section: Introductionmentioning

confidence: 99%

Primary Urachal Actinomycosis: Case Report and Literature Review

et al. 2013

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“…Normally the mucous membranes of the oral cavity, bronchus, gastrointestinal and genital tracts contain Actinomyces as commensal flora elements, and these do not pass through the mucosa. There are some predisposing factors, such as endoscopy, any upper respiratory or oral cavity operation, immunsupression, and chronic inflammatory disease that may cause this bacteria to pass through mucosal barriers [1]. Actinomycoses infections generally occur in the cervicofacial region (50%), abdomen (20%), and thorax (15%) [2].…”

Section: Introductionmentioning

confidence: 99%

Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

Desteli

Gursu

Bircan

et al. 2013

J Infect Dev Ctries

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Intrauterine devices (IUD) are frequently used as a family planning procedure in developing countries because they are easy to administer and governmental policies support their use in many countries. It is recommended that IUDs be removed or replaced after 10 years, but longer use is common, especially in developing countries. In some cases, rare infections such as pelvic inflammatory diseases, pelvic tuberculosis, or abdominopelvic actinomycosis related to IUD can develop. Pelvic actinomycosis is a rare disease and is often diagnosed incidentally during surgery. In recent years, there has been an increase in actinomycotic infections mostly due to long-term usage of IUD and forgotten intravaginal pessaries. It usually develops as an ascending infection. It is usually associated with non-specific symptoms such as lower abdominal pain, menstrual disturbances, fever, and vaginal discharge. The disease is sometimes asymptomatic. The rate of accurate preoperative diagnosis for pelvic actinomycosis is less than 10%, and symptoms and imaging studies sometimes mimic pelvic malignancy. This report details a case with abdominopelvic actinomycosis associated with an IUD presenting with highly elevated thromboctye count and small bowel perforation with abscess formation.

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Abdominal Actinomycosis Presenting as Lower Gastrointestinal Bleeding

Cited by 21 publications

References 6 publications

Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

Primary Urachal Actinomycosis: Case Report and Literature Review

Thrombocytosis and small bowel perforation: unusual presentation of abdominopelvic actinomycosis

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