2004
DOI: 10.1111/j.1440-1746.2004.03564.x
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Abstract: Actinomycosis of the anterior abdominal wall is a rare infection caused by different Actinomyces species. We report a case of primary actinomycosis localized on the anterior abdominal wall, diagnosed by computed tomography (CT) scan, postoperatively confirmed by histopathological examination and treated by surgical resection combined with postoperative antibiotic therapy. The patient has been free of recurrence after 1 year. A review of the available literature is also presented.

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Cited by 49 publications
(51 citation statements)
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“…The differential diagnosis includes malignancies (such as sarcoma and cholangiocarcinoma), amoeboma, inflammatory bowel diseases (such as diverticular disease, Crohn's disease) and pathological status within the abdominal muscles [7]. A firm mass with presence of small and multiple suppurative areas with sinus tracts is highly suspicious of abdominal actinomycosis.…”
Section: Discussionmentioning
confidence: 99%
“…The differential diagnosis includes malignancies (such as sarcoma and cholangiocarcinoma), amoeboma, inflammatory bowel diseases (such as diverticular disease, Crohn's disease) and pathological status within the abdominal muscles [7]. A firm mass with presence of small and multiple suppurative areas with sinus tracts is highly suspicious of abdominal actinomycosis.…”
Section: Discussionmentioning
confidence: 99%
“…Other species identified that can cause diseases in humans are: A. Bovis, A. Ericksonii, A. Naeslundii, A. Viscosus and A. Odontolyticus [1] . In many cases, abdominal-pelvic actinomycosis is associated with an IUD [2][3][4][5][6] . The manifestation may occur at the time of insertion or withdrawal.…”
Section: Discussionmentioning
confidence: 99%
“…In our case, the abscess fistulated into the urinary bladder and omentum. Some predisposing events are: appendicitis, diverticulitis, perforated gastric ulcers, previous bowel surgery, cholecystectomy, pancreatitis, endoscopic manipulation, trauma, immunosuppression and loss of gallstones after laparoscopic cholecystectomy [3,4,[9][10][11][12] . Actinomycosis abscess can affect the colon, ileum, uterus and tract, liver, abdominal wall, pancreas, greater omentum, retroperitoneum and kidney.…”
mentioning
confidence: 99%
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“…Physical exam findings may include a palpable abdominal mass, visible sinus tracts, or fistulas and labs can demonstrate anemia and leukocytosis. 5 Culturing abscess fluid is the most effective way to diagnosis an Actinomyces infection. Once diagnosed, the treatment of choice is IV Penicillin G for 4-6 weeks followed by Amoxicillin for 6-12 months for large abdominal lesions or draining sinus tracts.…”
Section: Discussionmentioning
confidence: 99%