Case report: Pelvic actinomycosis with the development and resolution of a recto-sigmoid stricture

Turnbull, AE; Cohen, Melvin R.

doi:10.1016/s0009-9260(05)80575-6

Cited by 14 publications

(6 citation statements)

References 6 publications

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“…Actinomyces are sensitive to penicillin, but the duration of treatment varies from several weeks to months to achieve permanent recovery 7-10. The aim of this study was to evaluate the characteristic clinical features with short literature review on the topic.…”

Section: Introductionmentioning

confidence: 99%

Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review

et al. 2009

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PurposeIntrabdominal actinomycosis is difficult to diagnose preoperatively. This chronic infection has a propensity to mimic many other diseases and may present with a wide variety of symptoms. The aim of this study was to evaluate the characteristic clinical features with review of the literature.Materials and MethodsWe retrospectively analyzed 22 patients with intrabdominal actinomycosis between January 2000 and January 2006.ResultsThere were two men and 20 women with a mean age of 42.8 years (range, 24 - 69). Twelve patients presented with masses or abdominal pain, whereas 3 patients presented with acute appendicitis. The rate of performing an emergency surgery was 50% due to symptoms of peritonitis. The mean size of tumor was 5.5 cm (range, 2.5 - 11.0). Sixty percent (n = 12) of female patients had intrauterine device (IUD). The average time to definite diagnosis was 10.6 days.ConclusionIntrabdominal abdominal actinomycosis must first be suspected in any women with a history of current or recent IUD use who presents abdominal pain. If recognized preoperatively, a limited surgical procedure, may spare the patient from an extensive operation.

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Section: Introductionmentioning

confidence: 99%

Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review

et al. 2009

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“…14-16,20,23-27,29,30-33,35-37 Moreover, the surgical excision of infected or necrotic tissue has improved the action of the antibiotics." 21,22,25,26,27 The right side of the colon has been most often involved because of the frequency of ileocecal origin of this disease. It is believed that the sigmoid colon is commonly spared because of its ana-tomical location and redundancy."…”

Section: Discussionmentioning

confidence: 99%

Pelvic Actinomycosis Presenting as Malignant Large Bowel Obstruction: A Case Report and a Review of the Literature

Yeguez

Martinez

Sands

et al. 2000

The American Surgeon

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Actinomycosis is an infrequent chronic infectious disease. In most cases the diagnosis is made postoperatively because of its unusual clinical presentation. Moreover, abdominal actinomycosis may mimic cancer, inflammatory bowel disease, or diverticulitis. Delay in diagnosis leading to inadequate management and unnecessary procedures has been reported. We report the case of a 49-year-old woman with large bowel obstruction secondary to extensive pelvic actinomycosis involving the rectosigmoid and cecum. She required emergency surgery, which involved both resection and colostomy. A review of the literature on abdominal actinomycosis during the last 50 years is also reported. Rarely has emergency surgery been described in this condition. Although the incidence of actinomycosis has decreased, the abdominal-pelvic form has been increasing over the past 10 years secondary to increased prolonged use of the intrauterine device. As the clinical spectrum of actinomycosis has dramatically changed, so have the therapeutic considerations. Aggressive surgical management in advanced cases with multiorganic involvement seems to have reemerged in recent years. Consideration of actinomycosis in a woman with prolonged use of an intrauterine device and symptoms of bowel obstruction could help to improve the preoperative diagnosis and management of this rare disease.

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“…5 The velocity of globular sedimentation is raised in the active process (150 in this case) which might be a useful parameter for assessing the response to treatment. 15 12 In general, most authors concur that the best treatment for pelvic actinomycosis is the combination of surgery and specific antibiotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…The obstructive complications can be solved with the use of nephrostomy and/or colostomy, resolving themselves in some cases with conservative treatment. 15…”

Section: Discussionmentioning

confidence: 99%

Pelvic actinomycosis which appears to be a malignancy

et al. 1996

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Case report: Pelvic actinomycosis with the development and resolution of a recto-sigmoid stricture

Cited by 14 publications

References 6 publications

Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review

Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review

Pelvic Actinomycosis Presenting as Malignant Large Bowel Obstruction: A Case Report and a Review of the Literature

Pelvic actinomycosis which appears to be a malignancy

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