Intraabdominal actinomycosis resulting in a difficult to diagnose intraperitoneal mass: A case report

Tsujimura, Naoto; Takemoto, Hiroyuki; Nakahara, Yujiro; Wakasugi, Masaki; Matsumoto, Takashi; Nishioka, Kiyonori; Takachi, Kou; Oshima, Satoshi; Yoshida, Kanji

doi:10.1016/j.ijscr.2018.03.024

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…These indeterminate symptoms, in addition to the rarity of the disease, are likely to lead the clinician toward considering the more common differentials of malignancy, lymphoma, tuberculosis, and/or inflammatory bowel diseases. Due to the condition's growth pattern, it is often misinterpreted leading to a delay in diagnosis and treatment [ 4 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Anaerobic culture of the organisms would be the gold standard; however, this is challenging in practice. As anaerobic cultures are not routinely performed on all biopsy samples, prior planning is required to obtain the appropriate anaerobic culture equipment [ 4 , 6 , 7 ]. In addition to this, obtaining adequate biopsy samples can be limited by the depth of tissue sampling achievable [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to this, obtaining adequate biopsy samples can be limited by the depth of tissue sampling achievable [ 8 ]. Furthermore, results may take up to two to four weeks to be returned [ 4 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Intra-Abdominal Actinomycosis: An Indolent Masquerader of Malignancy

McKeever,

Jayasankar,

Mathew Simon

et al. 2023

Cureus

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This report describes the case of a 54-year-old female who presented with the constitutional symptoms of lethargy, weight loss, and asthenia. She had been extensively investigated for possible gynaecological malignancy but with no definitive outcome achieved. The symptoms were persistent and, partly due to occurring during the coronavirus disease 2019 (COVID-19) pandemic, a decision was made to progress with surgical management. Following an oncology multidisciplinary meeting, a decision was made for a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Intra-operatively, there was an incidental finding of an extensive tumour infiltrating the liver, colon, anterior abdominal wall and urinary bladder. A surgical resection with ileostomy was performed on suspicion of an underlying malignancy. Unexpectedly, the histopathological diagnosis revealed actinomycosis. Following this discovery, our entire management plan was altered, and the patient was treated with a prolonged course of antibiotics and recovered well.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intra-Abdominal Actinomycosis: An Indolent Masquerader of Malignancy

McKeever,

Jayasankar,

Mathew Simon

et al. 2023

Cureus

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“…A pesar que el 20 % de las infecciones por Actinomices ocurren en la cavidad abdominal; la afectación de la pared abdominal es extremadamente poco frecuente (García García et al, 2001). Hasta la fecha, sólo se han reportado alrededor de 70 casos en la literatura entre adultos y niños (Filipovic et al, 2005;Kim et al, 2015;Wacharachaisurapol et al, 2017;Tsujimura et al, 2018). Los primeros reportes de esta entidad corresponden a Bradshaw en 1846 y Good en 1931(Pujol Molinara et al, 2000García García et al).…”

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Actinomicosis de Pared Abdominal con Infiltración Hepática Simulando una Neoplasia Maligna. Reporte de un Caso

2019

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RESUMEN: La infección por Actinomices (actinomicosis), es una entidad poco frecuente y que puede crear dificultades diagnósticas y terapéuticas; principalmente cuando por su presentación se asemeja a neoplasias malignas. El objetivo de este estudio fue reportar un caso de actinomicosis de pared abdominal con infiltración hepática y revisar la evidencia existente. Se trata de una paciente sexo femenino, de 33 años de edad, sin antecedentes quirúrgicos ni de utilización de dispositivos intra-uterinos. Consultó por dolor abdominal y masa palpable a nivel epigástrico. Se estudió con imágenes, las que permitieron verificar una masa de pared abdominal con trayecto fistuloso al hígado. Se realizó una exéresis amplia de la lesión antes descrita. Una vez extirpado el espécimen, se fue a estudio histopatológico, que reveló gránulos de azufre consistentes con actinomices. La paciente evolució de forma satisfactoria, sin inconvenientes. Presentamos un caso poco común de actinomicosis de pared abdominal con infiltración hepática. Cuando se encuentra una gran masa intraperitoneal, la actinomicosis debe incluirse en el proceso de diagnóstico diferencial.

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“…Dr.Takemoto et al recently published the report of Intra-abdominal actinomycosis resulting in a difficult-to-diagnose intraperitoneal mass: A case study report [1].…”

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confidence: 99%

Comment on “Intra-abdominal actinomycosis resulting in a difficult-to-diagnose intraperitoneal mass: A case study report’’

Keikha

2018

International Journal of Surgery Case Reports

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Intraabdominal actinomycosis resulting in a difficult to diagnose intraperitoneal mass: A case report

Abstract: HighlightsActinomycosis is a chronic suppurative granulomatous disease caused by Actinomyces israelii.Actinomycosis is one of the differential diagnoses of an abdominal mass.The first choice of treatment for actinomycosis is surgical resection.

Cited by 5 publications

References 11 publications

Intra-Abdominal Actinomycosis: An Indolent Masquerader of Malignancy

Intra-Abdominal Actinomycosis: An Indolent Masquerader of Malignancy

Actinomicosis de Pared Abdominal con Infiltración Hepática Simulando una Neoplasia Maligna. Reporte de un Caso

Comment on “Intra-abdominal actinomycosis resulting in a difficult-to-diagnose intraperitoneal mass: A case study report’’

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