Hemoptysis as an Early Symptom of Abdominal Actinomycosis with Thoracic Extension Ten Years after Cholecystectomy with Retained Gallstone

Ladić, Agata; Petrović, Igor; Augustin, Goran; Puretić, Hrvoje; Škegro, Mate; Gojević, Ante; Nikolić, Igor

doi:10.1089/sur.2012.027

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…Laparoscopic cholecystectomy with a lost gallstone(s) has been reported to be a potential complication leading to actinomycosis; A. naeslundii and an unspecified Actinomyces sp. were detected in two cases of abdominal abscesses (104), while A. meyeri was found in a case of abdominal actinomycosis extending from the kidney up to the thorax (105) and in an actinomycotic subphrenic abscess (106). A. israelii and A. meyeri have been identified in pus specimens from periappendical abscesses (107).…”

Section: Abdominal/pelvic Actinomycosismentioning

confidence: 99%

Actinomyces and Related Organisms in Human Infections

2015

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SUMMARY Actinomyces israelii has long been recognized as a causative agent of actinomycosis. During the past 3 decades, a large number of novel Actinomyces species have been described. Their detection and identification in clinical microbiology laboratories and recognition as pathogens in clinical settings can be challenging. With the introduction of advanced molecular methods, knowledge about their clinical relevance is gradually increasing, and the spectrum of diseases associated with Actinomyces and Actinomyces -like organisms is widening accordingly; for example, Actinomyces meyeri , Actinomyces neuii , and Actinomyces turicensis as well as Actinotignum (formerly Actinobaculum ) schaalii are emerging as important causes of specific infections at various body sites. In the present review, we have gathered this information to provide a comprehensive and microbiologically consistent overview of the significance of Actinomyces and some closely related taxa in human infections.

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Section: Abdominal/pelvic Actinomycosismentioning

confidence: 99%

Actinomyces and Related Organisms in Human Infections

2015

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“…Exploratory laparotomy revealed cholesterol gallstones throughout the abdomen and many calculi were found embedded within a dense mesenteric cicatrix causing ileocolic volvulus. Ladic et al reported a 54-year-old male who presented with persistent hemoptysis 10 years after LC [ 19 ]. Imaging revealed a mass in the upper part of the left kidney spreading directly into the adjacent diaphragm and left lower lobe of the lung.…”

Section: Discussionmentioning

confidence: 99%

Practices and Attitudes of Surgeons With Regard to Spilled Gallstones During Laparoscopic Cholecystectomy: A Cross-Sectional Study From Saudi Arabia

Alfehaid,

Aljohani,

Salati

et al. 2024

Cureus

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Background: Gallbladder perforation and gallstone leakage are frequent complications following laparoscopic cholecystectomy (LC). Failure to remove gallstones may result in several issues that manifest immediately or years later. The goal of this study was to evaluate the attitudes of surgeons and the procedures used by them to deal with gallstone spillage during LC. Methods: A cross-sectional design was followed. Surgeons in nine healthcare facilities in the Qassim region of Saudi Arabia were approached through non-probability convivence sampling and the survey was distributed in each of the general surgery divisions. The study included general surgeons who currently performed LC and incomplete responses and interns were excluded. A self-administered questionnaire was developed with 18 questions regarding demographics, center, and designation at the hospital, surgeons’ experience of LC, and exposure to gallstone spillage. Furthermore, items regarding knowledge, attitude, and self-reported practices related to gallstone spillage such as incidence, complications, and intervention taken to prevent gallstone spillage were also included. The level of significance was set at P <0.05. Results: There were 82 participants of both genders, including consultants, specialists, and residents. While only 23 (28%) participants had actually observed patients with complications from spilled stones, 46 (56.1%) participants were aware of this possibility, 53 (64.6%) deemed it inappropriate to bring up gallstone spillage when securing consent for LC, and 67 (81.7%) believed that such an incident needed to be documented in the operation notes. Only 11 (13.4%) thought that the complications arising out of the unretrieved gallstones should fall under the legal purview of the operative surgeon. There were very few complications of spilled gallstones that the participants were aware of, and none of them anticipated problems to arise more than three years after LC. Conclusions: Awareness of the risks associated with gallstone spillage during LC needs to be raised, and it is imperative to standardize the practices related to their management.

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“…Gallbladder perforation and intraperitoneal spillage of gallstones are common during laparoscopic cholecystectomies, occurring in as many as 40% of all cases 4. Gallstone spillage has been associated with intra-abdominal actinomycosis with the average time from the operation until the onset of symptoms is 5.5 months 5–7. Extension to the thorax is less common 2 3 8.…”

Section: Discussionmentioning

confidence: 99%

Thoracoabdominal actinomycosis associated with laparoscopic cholecystectomy and mimicking metastatic pulmonary malignancy

2022

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Actinomyces naeslundii is rarely isolated in cases of actinomycosis. We present a case of thoracoabdominal actinomycosis caused by inadvertent enterotomy and gallstone spillage during a laparoscopic cholecystectomy. The actinomycosis initially presented as recurrent episodes of pneumonia, shortness of breath and unintentional weight loss. Initial CT imaging demonstrated pleural thickening along the right lung base as well as ill-defined consolidation in the right lower lobe. Repeat CT imaging showed progression of the mass-like region of consolidation with extrapulmonary spread to involve the abdomen, retroperitoneum and retrohepatic areas. Treatment involved intravenous antibiotics with concurrent abscess drainage followed by oral antibiotics.

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Hemoptysis as an Early Symptom of Abdominal Actinomycosis with Thoracic Extension Ten Years after Cholecystectomy with Retained Gallstone

Abstract: Actinomycosis is still a highly intriguing disease, as initial symptoms often mislead clinicians. It is important to consider the disease whenever we are challenged diagnostically or when risk factors are present.

Cited by 7 publications

References 16 publications

Actinomyces and Related Organisms in Human Infections

Actinomyces and Related Organisms in Human Infections

Practices and Attitudes of Surgeons With Regard to Spilled Gallstones During Laparoscopic Cholecystectomy: A Cross-Sectional Study From Saudi Arabia

Thoracoabdominal actinomycosis associated with laparoscopic cholecystectomy and mimicking metastatic pulmonary malignancy

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