Caecum actinomycosis with acute abdomen: A case report

Asiri, Bader I.; Alshehri, Ali; Alqahtani, Abdullah S; Albishi, Abdullah Mohammed; Assiri, Yahia I.; Asmiri, Esam A.

doi:10.1016/j.jtumed.2020.01.004

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…In Table 2 , we present several publications with cases and the problems of diagnosis and treatment that involve abdominopelvic actinomycosis, problems that have been encountered in our cases as well [ 8 , 14 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominopelvic Actinomycosis—The Diagnostic and Therapeutic Challenge of the Most Misdiagnosed Disease

Vasilescu

Târcoveanu

Lupașcu

et al. 2022

Life

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Abdominopelvic actinomycosis is a rare chronic or subacute bacterial infection caused by Actinomyces israelii, a Gram-positive anaerobic bacterium that normally colonizes the digestive and genital tracts, clinically presented as an inflammatory mass or abscess formation. Methods: We reviewed the medical records of the patients from our clinic with abdominopelvic actinomycosis who underwent surgery between 2002 and 2022. In this period, 28 cases (9 men and 19 women) were treated. The mean age was 43.36 years and they were hospitalized for abdominopelvic tumors or inflammatory tumors in 15 cases and inflammatory disease in 13 cases. Results: Causes of actinomycosis in the studied group were an intra-uterine contraceptive device in 17 cases, foreign bodies in 2 cases, diabetes in 4 cases, stenting of the bile duct in 1 case, and immunodepression. For 6 patients, we performed surgery by open approach and for 21 patients by a laparoscopic approach. For nine patients, abdominopelvic actinomycosis had been mimicking a colon malignancy (cecum and ascending colon, four cases; transverse colon, two cases; and on the greater omentum, three cases) and for six patients, a pelvic tumor (advanced ovarian cancer). After surgery the patients underwent specific treatment with antibiotics, with good results. In two cases we discovered and treated hepatic actinomycosis, one case by a laparoscopic approach and one case by a percutaneous approach. In our lot we noticed three recurrences that required reintervention in patients who had had short-term antibiotics due to non-compliance with treatment out of four such cases. Conclusions: For abdominopelvic malignancies, actinomycosis should be included in the differential diagnosis, as well as for inflammatory bowel diseases and bowel obstructions. We have a wide range of patients considering the rarity of this condition. Long-term antibiotics are necessary to prevent recurrence.

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Section: Discussionmentioning

confidence: 99%

Abdominopelvic Actinomycosis—The Diagnostic and Therapeutic Challenge of the Most Misdiagnosed Disease

Vasilescu

Târcoveanu

Lupașcu

et al. 2022

Life

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“…[10] More than 90% of cases, similarly our patient, are diagnosed following the surgery by bacterial cultures and histopathological examinations. [3,5,11] Observation of necrosis tissue with yellow sulfur granules is highly suggestive for actinomycosis. [3,4] Although it is only seen in half of the specimen and it is not pathognomonic for actinomycosis.…”

Section: Discussionmentioning

confidence: 99%

“…[3] AA features can strongly resemble other abdominal pathologies such as malignancy, tuberculosis, inflammatory bowel disease (Crohn's disease), appendicitis, diverticulitis, and even ovarian pathologies in reproductive females. [11,12] Hence, physicians should be considered at the end of their differential diagnosis list and follow the pathology results to prevent misdiagnosis. [10,13,14] Antibiotic therapy is the conventional treatment of actinomycosis.…”

Section: Discussionmentioning

confidence: 99%

Acute Appendicitis Secondary to Actinomycosis Gastrointestinal Infection – A Case Report

Moghimi¹,

Soltani²,

Samadzadeh³

2020

Clin J Surg

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A 30-year-old female from Yazd province, referred to the emergency department, with right lower quadrant (RLQ) pain. According to initial assessments and consulting with the general surgeon, the patient was hospitalized with the diagnosis of acute appendicitis and taken to the operating room for an open appendectomy. The appendix was inflamed and edematous with a minimal amount of pus discharge. It was excised without complications. Furthermore, the ovaries and terminal ileum were explored up to 60 cm. Post-operatively, the patient had a good general condition and normal abdominal examination. She

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“…Actinomycosis is an uncommon subacute or chronic suppurative bacterial granulomatous infectious disease with clinical heterogeneity caused by Actinomyces species, a group of anaerobic or microaerophilic non-spore forming Gram-positive bacteria. The main pathogens of this species responsible for human actinomycosis are Actinomyces israelii and less commonly Actinomyces gerencseriae [ 1 , 2 ]. Actinomyces israelii normally inhabits the oral cavity, pharynx, skin, gastrointestinal and urogenital tract [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Two case reports of mesenteric and retroperitoneal actinomycosis and a narrative review of the relevant literature

Ioannidis,

Symeonidis,

Ouzounidis

et al. 2023

Medicine and Pharmacy Reports

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Introduction. Actinomycosis is an uncommon subacute or chronic suppurative bacterial granulomatous infectious disease with clinical heterogeneity. The majority of actinomycosis cases were of extra-abdominal origin, with oro-cervico-facial cases representing 55%, abdominopelvic representing 20%, and thoracic representing 15% of total reports. Currently, abdominal actinomycosis incidence is approximately 1 case per 119,000 people, being found three times more frequently among males. We report two rare clinical presentations of abdominal actinomycosis affecting the mesentery and the retroperitoneum, respectively. Case Report 1. A 58-year-old Caucasian male presented to our clinic with abdominal pain in the right upper quadrant. Pre-operative evaluation, although inconclusive, showed a mesocolic mass infiltrating the right and transverse colon. The patient underwent exploratory laparotomy. After partial resection of the mass, the histopathology report demonstrated mesenteric actinomycosis. Case Report 2. A 40-year-old Caucasian male presented to our clinic complaining about a mucopurulent material from an orifice at the right inguinal region. After appropriate work-up, a large abdominopelvic, stellate mass (75 x 22.8 mm) in the retroperitoneum was revealed. Surgery along with the appropriate antibiotics was used to treat the patient. Conclusion. Preoperative suspicion and diagnosis of actinomycosis are very challenging, with a high rate of misdiagnosis often resulting in delayed treatment. Our case reports highlight that abdominal actinomycosis should always be part of differential diagnosis, especially when there is involvement of multiple organs. The gold standard treatment of actinomycosis is surgical excision with prolonged antibiotic treatment.

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Caecum actinomycosis with acute abdomen: A case report

Cited by 4 publications

References 19 publications

Abdominopelvic Actinomycosis—The Diagnostic and Therapeutic Challenge of the Most Misdiagnosed Disease

Abdominopelvic Actinomycosis—The Diagnostic and Therapeutic Challenge of the Most Misdiagnosed Disease

Acute Appendicitis Secondary to Actinomycosis Gastrointestinal Infection – A Case Report

Two case reports of mesenteric and retroperitoneal actinomycosis and a narrative review of the relevant literature

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