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Case Series of Abdominal Actinomycosis: An Old Diagnostic Conundrum.
Cureus
September 2024
General and Colorectal Surgery, Lewisham and Greenwich NHS Trust, London, GBR.
Abdominal actinomycosis is a rare disease caused by the bacteria. We report a case series of two similar cases with a mismatch between the initial differential diagnosis, the radiological findings, the surgical findings, and the actual histological result. The first case is a 25-year-old woman with a month's history of right-sided abdominal pain.
View Article and Find Full Text PDFPeritoneal Actinomycosis After Bariatric Surgery Mimicking a Peritoneal Carcinomatosis on 18 F-FDG PET/CT.
Clin Nucl Med
November 2024
Anatomopathology Department, Orléans University Hospital, Orléans, France.
Article Synopsis
- - A 54-year-old man experienced abdominal pain, ascites, and declining health, prompting medical imaging that suggested peritoneal carcinomatosis.
- - However, histological tests revealed the man had peritoneal actinomycosis, a rare infection that can follow digestive surgeries like bypass operations.
- - This condition can occur years after surgery due to a breach in the digestive barrier, and healthcare providers should keep it in mind when assessing patients post-bariatric surgery, especially when cancer is not present.
A rare case of Whipple disease presenting as a hydrosalpinx and granulomatous peritonitis.
J Infect Dev Ctries
August 2024
Department for Gastroenterology, Military Medical Academy, Belgrade, Serbia.
Article Synopsis
- Whipple disease, caused by the bacterium Tropheryma whipplei, is a rare infection that primarily impacts the gastrointestinal and musculoskeletal systems but can also affect the heart, brain, and lungs, making diagnosis difficult due to varied symptoms.
- A case study of a young woman revealed miliary lesions in the pelvis during laparoscopy, initially leading to a diagnosis of granulomatous salpingitis and peritonitis, but ultimately, Tropheryma whipplei was identified as the cause.
- Timely and appropriate antibiotic treatment is crucial for a positive outcome in Whipple disease, emphasizing the need for increased awareness among healthcare professionals.
An actinomycosis infection resembling peritoneal dissemination of rectal cancer: a case report.
Surg Case Rep
September 2024
Department of Surgery, Kochi Medical School, Kochi University, Kohasu, Oko-Cho, Nankoku, Kochi, 783-8505, Japan.
Article Synopsis
- Actinomycosis, an uncommon and inflammatory infection usually caused by Actinomyces israelii, can be difficult to diagnose, especially in patients with a history of abdominal cancer due to lack of specific symptoms.
- A 72-year-old man with multiple abdominal surgeries for rectal cancer developed a mass that was initially thought to be a cancer recurrence, but it was later identified as an actinomyces infection after surgical resection.
- This case underscores the importance of careful histopathological evaluation of abdominal masses before initiating chemotherapy, particularly in patients with previous cancer treatments.
Mimics of primary ovarian cancer and primary peritoneal carcinomatosis - A pictorial review.
Clin Radiol
October 2024
Cambridge University Hospitals, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, United Kingdom.
Numerous conditions can mimic ovarian malignancy. Identifying the origin of a pelvic mass or disseminated peritoneal abnormality on imaging is important to ensure that the patient receives optimal management by the appropriate clinical team. Ovarian cancer mimics include infections and other neoplastic processes, for example, actinomycosis, lymphoma, and sarcoma.
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