Actinomycosis complicating chronic diverticulitis of the sigmoid colon: a missed association?

Samuel, Isaac; Dixon, M. F.; Benson, E. A.

doi:10.1136/pgmj.68.795.57

Cited by 12 publications

(7 citation statements)

References 3 publications

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“…Abdominal actinomycosis accounts for 20% to 45% of the reported cases [11]. Abdominal actinomycosis can affect the stomach [19], mesentery [1], ileo-cecal region [8], psoas muscle [13], pelvis [10,15,21], abdominal wall [3], retroperitoneum [2], anorectum [12,17,21] and colon [2,4,5,9,10,12,14,16,18,20,22].…”

Section: Discussionmentioning

confidence: 99%

“…All these cases except two [11,16], were diagnosed only after surgical resection which was performed in suspicion for presence of malignancy. Association of colonic actinomycosis with diverticulitis [ 18] and carcinoma [ 16] was reported.…”

Section: Figure 3 Histological Section Illustrating Sulfur Granules mentioning

confidence: 99%

“…Deshmukh and Heaney [5] reviewed in 1986 28 reported cases. Du¡ the last 10 years 10 additional cases were reported in the Westem literature [2,10,12,14,16,18,20]. Actinomycosis continues to be a diagnostic challenge because in almost all the reported cases the diagnosis was made only postoperatively.…”

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confidence: 91%

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Actinomycosis involving the sigmoid colon and mimicking colonic neoplasm

et al. 1997

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Summary. Actinomycosis involving the colon is rare. The aim of the present article is to reportan additional case of this rare entity. A young female has been operated upon for suspected presence of sigmoid neoplasm. A mass involving the sigmoid colon, the apex of the urinary bladder, the fundus of the uterus and the left adnexa was found. En-block resection was performed. Histological examination confirmed the diagnosis of actinomycosis. Most of the cases of colonic actinomycosis were diagnosod postoperatively. Whether more accurate preoperative diagnosis should be possible in the future is still an unanswered question.

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Section: Discussionmentioning

confidence: 99%

Section: Figure 3 Histological Section Illustrating Sulfur Granules mentioning

confidence: 99%

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Actinomycosis involving the sigmoid colon and mimicking colonic neoplasm

et al. 1997

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“…The disease presents typically as a slowly growing mass in the ileo-cecal region and patients usually have a history of bowel surgery or ingestion of foreign bodies [1,2,3]. We present a case of actinomycosis complicating sigmoid diverticular disease.…”

Section: Introductionmentioning

confidence: 99%

Actinomycosis complicating sigmoid diverticular disease: a case report

Vodovnik¹,

Logishetty²

2009

Cases J

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A 63-year-old Caucasian woman was admitted to hospital as hypotensive with abdominal tenderness and vaginal discharge. Laboratory investigations showed microcytic anaemia, low albumin and high white cell count. Computerised tomography scans revealed small bowel dilatation, sigmoid diverticula, ascites and pelvic fluid. The endometrial pipelle was positive and vaginal swab was negative for actinomyces. Post mortem examination revealed widespread sigmoid diverticular disease and bowel perforation with an intense inflammation. Actinomycotic granules were noted in the diverticular inflammatory debris, pelvic abscess and lung sections. Clinical course and histomorphological findings favour the perforating sigmoid diverticular actinomycosis as an origin of the systemic infection.

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“…This bacterium is universally distributed and is not very virulent; it is rarely related to abdominal disease. Primary bowel involvement is rare, but it has increased in frequency over the last few years [2][3][4][5][6][7][8].…”

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confidence: 99%