TITLE

Pelvic Actinomycosis Presenting as Malignant Large Bowel Obstruction: A Case Report and a Review

AUTHOR(S)
Yeguez, Jose F.; Martinez, Sergio A.
PUB. DATE
January 2000
SOURCE
American Surgeon;Jan2000, Vol. 66 Issue 1, p85
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Actinomycosis is an infrequent chronic infectious disease. In most cases the diagnosis is made postoperatively because of its unusual clinical presentation. Moreover, abdominal actinomycosis may mimic cancer, inflammatory bowel disease, or diverticulitis. Delay in diagnosis leading to inadequate management and unnecessary procedures has been reported. We report the case of a 49-year-old woman with large bowel obstruction secondary to extensive pelvic actinomycosis involving the rectosigmoid and cecum. She required emergency surgery, which involved both resection and colostomy. A review of the literature on abdominal actinomycosis during the last 50 years is also reported. Rarely has emergency surgery been described in this condition. Although the incidence of actinomycosis has decreased, the abdominal-pelvic form has been increasing over the past 10 years secondary to increased prolonged use of the intrauterine device. As the clinical spectrum of actinomycosis has dramatically changed, so have the therapeutic considerations. Aggressive surgical management in advanced cases with multiorganic involvement seems to have reemerged in recent years. Consideration of actinomycosis in a woman with prolonged use of an intrauterine device and symptoms of bowel obstruction could help to improve the preoperative diagnosis and management of this rare disease.
ACCESSION #
2723520

 

Related Articles

  • Abdominal actinomycosis presenting as a small-bowel obstruction. Horvat, Matjai; Kovačič, Srečko; Potrč, Stojan; Reberšelk-Gorišek, Helena // Wiener Klinische Wochenschrift;2004 Supplement 2, Vol. 116, p97 

    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...

  • Large Bowel Obstruction in a Young Woman Simulating a Malignant Neoplasm: A Case Report of Actinomyces Infection. Nissi, R.; Sequeiros, R. B. Blanco; Lappi-Blanco, E.; Karjula, H.; Talvensaari-Mattila, A. // Case Reports in Obstetrics & Gynecology;2013, p1 

    Pelvic and intra-abdominal Actinomycosis can be difficult to diagnose preoperatively and it may also mimic many other diseases, including malignancies. We present a patient with pelvic Actinomycosis probably caused by a long-standing intrauterine device (IUD). We emphasize the challenges in...

  • Abdominal actinomycosis after laparoscopic cholecystectomy: an uncommon presentation of an uncommon problem. Tankel, James A.; Gurjar, Shashank V.; Holford, Nicholas C.; Williams, Sian // Oxford Medical Case Reports;2015, Vol. 2015 Issue 2, p185 

    Actinomycosis is a rare bacterial infection with a broad clinical presentation that is seldom reported after elective cholecystectomy. We present an as-of-yet unreported case of actinomycosis in an 81 -year-old gentleman who was found to have right-sided peritonitis and small bowel obstruction...

  • Spectrum of MDCT Findings in Bowel Obstruction in a Tertiary Care Rural Hospital in Northern India. GUPTA, RANJANA; MITTAL, PUNEET; MITTAL, AMIT; GUPTA, SHARAD; MITTAL, KAPISH; TANEJA, ARPIT // Journal of Clinical & Diagnostic Research;Nov2016, Vol. 10 Issue 11, p1 

    Introduction: Multidetector Computed Tomography (MDCT) provides clinically and surgically important information in bowel obstruction. It can depict the severity, level and cause of obstruction. Aim: To depict the spectrum of MDCT findings in cases of small and large bowel obstruction. Materials...

  • Abdominal Cocoon: An Unusual Cause of Subacute Intestinal Obstruction. Shah, Md.; Gedam, B.; Sonarkar, R.; Gopinath, K. // Indian Journal of Surgery;Jun2013 Supplement, Vol. 75, p391 

    We report an unusual cause of subacute intestinal obstruction in a young adolescent girl, which is a nontubercular abdominal cocoon. Barium meal follow-through revealed 'cauliflower'-like appearance of small bowel. The patient underwent an exploratory laparotomy showing thick fibrous-like...

  • LAPAROSCOPY IN THE DIAGNOSIS AND TREATMENT ACUTE INTESTINAL OBSTRUCTION. Abdulayev, Magomed A.; Avdeev, Alexey M.; Abdukhalimov, Karim S.; Artukhov, Sergey V.; Ezzeddin, Ayeb // Vestnik Sankt-Peterburgskogo Universiteta, Seriia 11: Medicina;2015, Issue 1, p10 

    An analysis of case histories of 67 patients aged 18 to 85 years, operated in the Alexander hospital for acute intestinal obstruction from 2006 to 2013 using laparoscopy, was performed. 40 (59,7%) patients were operated on for adhesive acute intestinal obstruction laparoscopically. 16 (23,8%) of...

  • The bulletin 100 years ago/May 2, 1896. Schluter, Kevin // Bulletin with Newsweek;5/7/96, Vol. 116 Issue 6019, p11 

    Reflects on news information from 100 years ago on events that occurred on May 2, 1896. Farmer contracts lumpy jaw from a cow; Growth of Australian saltbush in the alkali districts of the United States; Description of the motorcycle; Appreciation of the Victorian Board of Health.

  • Intestinal Obstruction Due to Bochdaleck's Hernia in an Adult. Elizondo, Miguel Echenique; Aguinagalde, Borja // Saudi Journal of Gastroenterology;Oct2008, Vol. 14 Issue 4, p211 

    A letter to the editor is presented about intestinal obstruction due to Bochdaleck's hernia.

  • Fecalith Causing Intestinal Obstruction in a Patient with Seckel Syndrome. Sarsu, Sevgi Buyukbese; Belen, Burcu; Karakus, Suleyman Cuneyt; Koku, Naim // APSP Journal of Case Reports;2014, Vol. 5 Issue 2, p1 

    A letter to the editor is presented on the case of a 4-year old girl with Seckel syndrome (SS), who developed intestinal obstruction due to fecalith.

  • A Patient with Hematochezia and Intestinal Obstruction. Kyong Yong Oh; Yoon Jae Kim // Intestinal Research;2014, Vol. 12 Issue 3, p256 

    The article provides an answer to a question on the common diagnosis in patients who were presented at the hospital with hematochezia and intestinal obstruction.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics