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Primary abdominal wall actinomycosis
B Karaca1, H Tarakci2, E Tumer2
1Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey. banukaraca@yahoo.com.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 7, 2014
Summary
Actinomycosis is a rare infection. Physicians should consider abdominal wall actinomycosis in patients with abdominal masses, particularly those who are immunosuppressed.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Actinomycosis is a chronic, granulomatous disease caused by Actinomyces bacteria.
- It can present with suppurative disease or sinus formation, affecting various body parts.
- Abdominal wall actinomycosis, especially isolated anterior wall involvement, is exceptionally rare.
Observation:
- A 62-year-old female with diabetes mellitus presented with an abdominal mass.
- Computed tomography revealed an irregular density in the umbilical area.
- Surgical debridement and incisional biopsy confirmed the diagnosis.
Findings:
- Histopathological examination confirmed actinomycosis of the abdominal wall.
- The patient received parenteral crystalline penicillin and showed recovery.
- This case highlights a rare presentation of a known infectious disease.
Implications:
- Abdominal wall actinomycosis should be considered in the differential diagnosis of abdominal masses.
- Immunosuppressed patients with abdominal masses warrant increased suspicion for this condition.
- Prompt diagnosis and appropriate antibiotic treatment are crucial for favorable outcomes.
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