title: Abdominal abscesses due to actinomycosis after laparoscopic cholecystectomy: case reports and review.
abstract: We describe 2 patients who presented to a health care facility with abdominal abscesses years after undergoing laparoscopic cholecystectomy that was complicated by gallstone spillage. In both patients, sample cultures yielded Actinomyces species and enteric organisms. In 1 patient, crystallographic analysis of abscess debris confirmed the presence of gallstones. Actinomyces species is a rare cause of abdominal abscesses that should be considered in this patient population.
authors.affiliation: Infectious Diseases Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA. jvyas@partners.org
authors.forename: Jatin M
authors.initials: JM
authors.lastname: Vyas
authors.forename: Anne
authors.initials: A
authors.lastname: Kasmar
authors.forename: Hernan R
authors.initials: HR
authors.lastname: Chang
authors.forename: Judith
authors.initials: J
authors.lastname: Holden
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hohmann
mesh_terms: D018784:Abdominal Abscess / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents