Abdominal actinomycosis after laparoscopic cholecystectomy: an uncommon presentation of an uncommon problem

Tankel, James; Gurjar, Shashank; Holford, Nicholas; Williams, Sian

doi:10.1093/omcr/omv003

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…It can present as abscesses in the pelvis or abdominal wall, actinomycosis of the bladder or testes or even as a pelvic fistula. 5 It is mostly a local disease and is not known to spread via lymphatics or blood. Most of these infections are seen in women.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic approach of excision of anterior abdominal wall actinomycosis

et al. 2021

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Actinomycosis of the abdominal wall is a rare disease. While most of the reported cases are women, we present a 42-year-old male with an abdominal mass for 4 months. Clinical examination of the abdomen revealed a well circumscribed mass in the left iliac fossa. CT abdomen showed an anterior abdominal wall mass with infiltration to the sigmoid colon however colonoscopy ruled out intraluminal origin. In contrast to traditional open approach, a laparoscopic approach was done. The abdominal wall tumour and sigmoid colon was resected en- bloc and continuity restored extra- corporeally through a small incision. Histopathology of the specimen reported an abdominal wall actinomycosis and patient was discharged with antibiotics. Laparoscopic approach was successful as the tumour was small. We therefore conclude that an initial laparoscopic assessment can be advocated and a laparoscopic excision is always possible if the features are favourable.

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Section: Discussionmentioning

confidence: 99%

“…There are reported cases of actinomycosis following laparoscopic cholecystectomy. 5 Possible causes of this occurrence include contamination of gallbladder contents to the peritoneal cavity or port site. Clinical symptoms run an indolent course and only a small number of patients presents with acute symptoms.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic approach of excision of anterior abdominal wall actinomycosis

et al. 2021

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“…Besides IUCD, abdominopelvic actinomycosis has also been reported in patients who have undergone recent laparoscopic cholecystectomies 25–27. There are several reports of appendicitis which turned out to be abdominal actinomycosis 28–30.…”

Section: Discussionmentioning

confidence: 99%

“Fungating” tumour? No, it’s bacterial!

et al. 2019

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A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. An intrauterine contraceptive device (IUCD) was noted. In light of the CT findings, she underwent a diagnostic laparoscopy. As the inflammatory mass was not separable from the transverse colon, a segmental transverse colectomy was proceeded. The histology revealed multiple actinomycosis abscesses in the mesentery. Subsequently, we learnt that her IUCD had been in situ for the last 7 years, and the source of actinomycosis abscesses is likely from her IUCD. The patient was recommended to have the coil removed and commenced on a 6 months course of amoxicillin.

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