Abdominal actinomycosis mimicking a transverse colon malignancy: a case report and review of the literature
| Autor: | Roshana Constantine, Gnanaselvam Pamathy, Dayal Gamlaksha, Umesh Jayarajah, Anura S K Banagala |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Abdominal pain medicine.medical_specialty Exploratory laparotomy medicine.medical_treatment 030230 surgery Actinomycosis Descending colon Diagnosis Differential Abdominal wall 03 medical and health sciences Intra-uterine device 0302 clinical medicine Case report medicine Actinomyces Humans 030212 general & internal medicine Transverse colon Bacterial disease business.industry General Medicine medicine.disease medicine.anatomical_structure Colonic Neoplasms Medicine Abdomen Female Radiology medicine.symptom business Colon Transverse Intrauterine Devices |
| Zdroj: | Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-4 (2021) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-021-02812-7 |
| Popis: | BackgroundActinomycosis is a rare inflammatory bacterial disease caused byActinomycesspecies which can infrequently affect the large intestine. Disseminated actinomycosis is reported as a rare complication associated with intrauterine devices. We report a case of intra-abdominal actinomycosis mimicking a transverse colon malignancy.Case presentationA previously healthy 40-year-old Sinhalese woman was evaluated for intermittent colicky left-sided abdominal pain for 2 months’ duration. Computed tomography of the abdomen showed a circumferential thickening of the wall and narrowing of the lumen of the descending colon with evidence of extraluminal extension to the adjacent parietal peritoneum and abdominal wall suggestive of a stage IV neoplasm. An exploratory laparotomy with extended left hemicolectomy was performed. Macroscopic evaluation revealed a mass lesion with multiple abscesses attached to the transverse and descending colon. Histology was suggestive of actinomycosis with no evidence of malignancy.ConclusionsAbdominal actinomycosis should be considered in a young patient with chronic abdominal pain. It should be understood that the presentation may be vague and highly variable. Computed tomography-guided biopsy/fine needle aspiration or laparoscopy and biopsy may be useful in arriving at a diagnosis and can prevent unnecessary surgical intervention. |
| Databáze: | OpenAIRE |
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