[Actinomycosis associated with perforation of jejunum in patient after cholecystectomy--a case report].
Actinomyces is endogenic infection with rare abdominal manifestations. Diagnosis is very difficult and not always taken into account in differential diagnosis. Disease is recurrent and treatment is mostly pharmacologic and takes a long time. The aim of the paper was to present a case of patient operated on acute cholecystitis with intraabdominal actinomycosis. The 66 years old patient 28 days after cholecystectomy appeared to have jejunal perforation in the course of actinomycosis. Patient regarded two interventions due to intraabdominal abscesses. Since last discharge, a year ago, we do not observe recurrence. Intraabdominal actinomycosis is often recurrent and should be considered in patients with purulent complications after surgical procedures.
Warszawski Uniwersytet Medyczny, Katedra i Klinika Chirurgii Ogólnej i Transplantacyjnej. sfes@op.pl
Sławomir
S
Fesołowicz
Artur
A
Kwiatkowski
Andrzej
A
Chmura
D000196:Actinomycosis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002763:Cholecystectomy / Q000009:adverse effects*; D002764:Cholecystitis / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000382:microbiology* / Q000628:therapy; D007579:Jejunal Diseases / Q000382:microbiology* / Q000628:therapy; D007813:Laparotomy; D008297:Male; D012008:Recurrence; D012086:Reoperation; D013530:Surgical Wound Infection / Q000382:microbiology* / Q000628:therapy
D000900:Anti-Bacterial Agents