Abdominal actinomycosis is a rare infection and the non-recognition of this particular microorganism may led to a prolonged septic process and recurrent disease. We hereby present a case report of 53 years-old woman with a secondary peritonitis due to this microorganism and our option to perform a long course of penicillin derived antibiotics, after suture of a perforated gastric ulcer caused by a foreign body.
Actinomycosis is an infection caused by and mainly affects cervicofacial areas. In women, other regions, such as the chest, abdomen, and pelvic cavity can involve actinomycosis. Actinomycosis lesions in the oral cavity can cause pain, swelling, induration, pus discharge, and discomfort similar to other benign or malignant pathologies.
Early diagnosis of abdominal actinomycosis is challenging due to its atypical presentation as an abdominal mass, which may mimic colon cancer. Initial clinical suspicion is crucial to guide treatment and prevent further complications.
Introduction: Colonic actinomycosis is an uncommon chronic infection associated with granulomatous inflammation resulting multiple abscesses and sinuses. Common modes of presentation include weight loss, malaise, abdominal pain, and abdominal mass, which might mimic neoplasia.
Case Presentation: A 60-year-old female presented with painful lump in right iliac fossa (RIF) for 3 weeks and acute complete bowel obstruction for 3 days.
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.
Abdominal actinomycosis is a rare infection, often misdiagnosed, caused by bacteria normally found in the oral cavity and gut, which can lead to conditions that mimic serious abdominal issues, including cancers.
A case study of a 59-year-old male with existing health problems showed how he was initially misdiagnosed with appendicitis but was later found to have actinomycosis during surgery.
The patient received successful treatment through surgery and penicillin, illustrating the need for healthcare providers to consider abdominal actinomycosis when diagnosing abdominal pain and masses.
