Abdominal actinomycosis presenting as a small-bowel obstruction.
A 48-year-old female, presented as a case of acute abdomen with a small-bowel obstruction and a palpable hypogastric mass, was urgently operated. Laparotomy revealed a tumor mass of unknown origin that included a loop of the small bowel by compressing it. Resection of the tumor including a portion of the large and small bowel was performed, and pathohistological examination revealed actinomycosis. The cause of abdominal actinomycosis in this patient could be the implantation of an intrauterine device nine years prior to the operation.
Horvat
Matjaz
M
Department of Abdominal and General Surgery, Maribor Teaching Hospital, Maribor, Slovenia. matjaz.horvat@sb-mb.si
Kovacic
Srecko
S
Potrc
Stojan
S
Rebersek-Gorisek
Helena
H
D000005:Abdomen / Q000382:microbiology; D000006:Abdomen, Acute / Q000209:etiology*; D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D011182:Postoperative Care; D011860:Radiography, Abdominal; D013997:Time Factors
D000900:Anti-Bacterial Agents