Primary combined intra- and extra- abdominal actinomycosis. A case report.
Actinomycosis is an infrequent chronic progressive granulomatous and suppurative disease. This infection is caused by Actinomyces israelii, normally present in healthy individuals. We present a rare case of a combined intra- and extra- abdominal actinomycosis in a 50 year old female patient, with no underlying predisposing factors. The patient complained of a right lower quadrant pain. Although we first diagnosed a peri-appendiceal abscess, the CT scan suggested a right colon tumor. The patient underwent segmental colectomy and the histological examination of the specimen revealed colon actinomycosis. A review of the possible pathogenesis and therapeutic modalities is also presented.
Filippou
Dimitrios
D
1st Department of General Surgery, GP Hospital of Piraeus "Tzanion", 14 Agias Eirinis str., GR-11146 Galatsi, Athens, Greece. d_filippou@hotmail.com
Triantopoulou
Charina
C
Kolimpiris
Chariton
C
Rizos
Spiros
S
D000005:Abdomen; D034861:Abdominal Wall; D000196:Actinomycosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D003108:Colonic Diseases; D005260:Female; D006801:Humans; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D010406:Penicillins