Periappendiceal Actinomycosis Presenting as Acute Appendicitis

Kwak, JungHak; Won, Eu Jin; Choi, Eun Hwa; Jung, Sung Eun; Kim, Ho

doi:10.13029/jkaps.2015.21.1.7

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Only a few cases of appendicitis arising from actinomycosis have been reported [2][3][4][5][6][7]. However, performing an interval appendectomy and tracking with CT examination during the period of non-operative management is where our case differs from previously reported ones.…”

Section: Utility Of Computed Tomography For Actinomycotic Appendicitismentioning

confidence: 72%

“…Only a few studies have reported cases of abdominal actinomycosis detected in the appendix [2][3][4][5][6][7], and all but one patient among the previously reported cases underwent an urgent appendectomy, We initially treated the patient with non-operative management followed by interval appendectomy, although his CT scan showed findings of acute appendicitis, we determined that the patient was in the late course of the disease. Fortunately, using a CT scan before surgery, we could confirm the response to four weeks of antibiotic therapy.…”

Section: Introductionmentioning

confidence: 99%

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Utility of Computed Tomography in Interval Appendectomy for Actinomycotic Appendicitis

Kim¹,

Lee²

2017

JCR

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Background: Appendicitis is common medical emergency requiring surgery although currently some surgeons choose non-operative management based on the patient's overall health status. After conservative management, surgeons usually obtain a computed tomography (CT) scan particularly when the patient's clinical manifestations are questionable. Actinomycosis could be a rare cause of an insidious clinical presentation of appendicitis. Case Report: We report a case of appendicitis caused by actinomycosis with follow up using CT scans during non-operative management before surgery.Conclusion: Surgeons should consider actinomycosis in the differential diagnoses during nonoperative management of appendicitis.

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Section: Utility Of Computed Tomography For Actinomycotic Appendicitismentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Utility of Computed Tomography in Interval Appendectomy for Actinomycotic Appendicitis

Kim¹,

Lee²

2017

JCR

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Abdominal Actinomycosis Mimicking Acute Appendicitis in Children: a Case Report

Choi

Bang

et al. 2018

Pediatr Infect Vaccine

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Actinomicosis apendicular simulando una tumoración intraabdominal. Reporte de caso

Rendón-Mejía,

Flores-González,

Sandoval-Campa

2024

Rev Colomb Cir

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Introducción. La actinomicosis abdominal es una enfermedad rara, causada por un microorganismo grampositivo anaerobio, que afecta principalmente cavidades abiertas. Puede llegar a afectar en un 64 % de los casos el intestino delgado. Se caracteriza por la formación de abscesos y fístulas. Las manifestaciones clínicas son inespecíficas, pero una vez instaurada la enfermedad, puede manifestarse de manera similar a una lesión tumoral. Caso clínico. Paciente femenina de 85 años quien ingresó al área de urgencias por dolor abdominal de una semana de evolución, con localización principal en fosa ilíaca derecha, acompañado de náuseas y vómitos. A la exploración presentaba signos positivos apendiculares, con leucocitosis en sus laboratorios y cambios sugestivos de apendicitis y tiflitis en la tomografía computarizada. Resultados. Fue ingresada a laparotomía exploratoria donde se encontró marcada inflamación de aspecto tumoral a nivel del ciego y colon ascendente, con cambios fibrino-purulentos, apéndice cecal en estado de necrosis licuefactiva con pérdida de su morfología y perforación de su base. Se practicó hemicolectomía derecha, procedimiento de Hartmann y derivación de estoma de íleon distal. Tuvo una evolución posoperatoria tórpida y falleció. Conclusión. La actinomicosis abdominal es una enfermedad con incidencia muy baja en nuestro medio. Su diagnóstico es un reto, tanto por las manifestaciones clínicas inespecíficas como por el alto porcentaje de falsos negativos a la hora del diagnóstico. Se deben descartar otras causas de abdomen agudo antes de sospechar una actinomicosis abdominal.

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Periappendiceal Actinomycosis Presenting as Acute Appendicitis

Cited by 3 publications

References 13 publications

Utility of Computed Tomography in Interval Appendectomy for Actinomycotic Appendicitis

Utility of Computed Tomography in Interval Appendectomy for Actinomycotic Appendicitis

Abdominal Actinomycosis Mimicking Acute Appendicitis in Children: a Case Report

Actinomicosis apendicular simulando una tumoración intraabdominal. Reporte de caso

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