Bilateral actinomyces abscesses mimicking pelvic malignancy

Dogan, Nasuh Utku; Salman, M. C.; Gültekin, M.; Küçükali, T.; Ayhan, Ali

doi:10.1016/j.ijgo.2006.04.041

Cited by 9 publications

(5 citation statements)

References 2 publications

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“…Abdominopelvic actinomycosis is rare, but most commonly seen in association with an IUCD or after surgery to the region, for example appendicetomy 3. A israelii can affect 1.65–11.6% of IUD users and infection is more common in women who have had an IUD for more than 4 years 4. Notably, actinomyces-like organisms were seen on our patient's cervical smear test in 2012, making her IUCD a highly likely source.…”

Section: Discussionmentioning

confidence: 74%

Abdominopelvic actinomycosis mimicking disseminated peritoneal carcinomatosis

2013

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We present a case of a 38-year-old woman who presented with symptoms suggestive of intra-abdominal or pelvic malignancy: marked weight loss, abdominal pain, altered bowel habit, anorexia and fatigue. The findings of multiple peritoneal deposits, adnexal and presacral masses on CT imaging and appearances on diagnostic laparotomy also suggested malignancy. However, the histological analysis was inconsistent with malignancy and revealed an infection withActinomyces israelii. The patient started a course of intravenous antibiotics and complete resolution is expected. An intrauterine contraceptive device was identified as the likely source of the infection.

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Section: Discussionmentioning

confidence: 74%

Abdominopelvic actinomycosis mimicking disseminated peritoneal carcinomatosis

2013

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“…Pelvic actinomycosis may be seen in those using an intra-uterine device, which can often cause abdomino-pelvic actinomycosis (4,6,14–17). Other risk factors include an horseshoe kidney, reno-duodenal fistula and urachal remnants (18–21). There are no specific clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Abdominal actinomycosis with multiple myeloma: A case report

et al. 2014

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Actinomycosis is a chronic suppurative infection, for which immune suppression is a predisposing factor. In unusual cases, this disease may present as an abdominal wall involvement simulating a soft tissue tumor as seen in the present case. The presented patient had no signs of trauma or surgical approach and the pathology was considered to be a primary abdominal wall actinomycosis. Preoperative diagnosis is difficult due to the nonspecific nature of clinical presentation, radiographic and laboratory findings. Surgery combined with antibiotic treatment is a curative approach for this relatively rare infection. Surgeons must be aware of this disease in order to ensure correct diagnosis and to prevent performing any unnecessary procedures. The present study describes a case of abdominal actinomycosis with multiple myeloma, together with a review of important points related to this disease.

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“…L'examen histologique des pièces opératoires confirme souvent le diagnostic. Il montre typiquement de nombreux abcès constitués de polynucléaires altérés, entourés d'un infiltrat histolymphoplasmocytaire et d'une couronne riche en fibrine et collagène [ 14 , 15 ]. Au centre de ces abcès, on retrouve les caractéristiques « grains de soufre » ou « grains actinomycosiques » du centre desquels des filaments s’échappent en rayon de roue [ 14 ].…”

Section: Discussionunclassified

Actinomycose pelvienne pseudo tumorale associée au dispositif intra-utérin: à propos de trois cas

Elhassani¹,

Babahabib²,

Kouach³

et al. 2014

Pan Afr Med J

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L'actinomycose est une maladie chronique suppurative granulomateuse d'origine infectieuse responsable d'un syndrome tumoral. La localisation pelvienne est rare et souvent associée, chez la femme, au port au long court du dispositif intra-utérin (DIU). Le diagnostic préopératoire n'est possible que dans 17% des cas. Nous rapportons trois observations, d'actinomycose pelvienne pseudo tumorale compliquées chez des femmes porteuses de DIU, qui illustrent le rôle de ce moyen de contraception dans la genèse de cette pathologie ainsi que les difficultés de prise en charge.

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Bilateral actinomyces abscesses mimicking pelvic malignancy

Cited by 9 publications

References 2 publications

Abdominopelvic actinomycosis mimicking disseminated peritoneal carcinomatosis

Abdominopelvic actinomycosis mimicking disseminated peritoneal carcinomatosis

Abdominal actinomycosis with multiple myeloma: A case report

Actinomycose pelvienne pseudo tumorale associée au dispositif intra-utérin: à propos de trois cas

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