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Abdominal Actinomycosis-an Interesting Case

Aniruddha S Bhuiyan1, Krishna Chaitanya K H1, Vikas M1

  • 1Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Nagamangala Taluka, Mandya, Karnataka 571448 India.

The Indian Journal of Surgery
|January 16, 2014
PubMed

Insights

Actinomycosis, a rare bacterial infection, typically occurs when the mucosal barrier is broken. This case highlights a rare presentation of abdominal actinomycosis caused by a fish bone, emphasizing diagnostic challenges.

Area of Science:

  • Medical Microbiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Actinomyces species are commensal oral flora, causing disease only upon breach of mucosal barriers.
  • Actinomycosis incidence is low, approximately 1 case per 300,000 individuals annually.
  • Preoperative diagnosis of abdominal actinomycosis is challenging, often necessitating surgical intervention.

Purpose of the Study:

  • To report a rare case of abdominal actinomycosis.
  • To illustrate the diagnostic difficulties associated with mesenteric panniculitis secondary to foreign body perforation.
  • To emphasize the importance of histological examination for definitive diagnosis.

Main Methods:

  • Case report detailing a patient with mesenteric panniculitis.
  • Identification of a fish bone as the causative agent penetrating the gut wall.
  • Histological examination of resected tissue for diagnosis.

Main Results:

  • Mesenteric panniculitis was diagnosed.
  • A fish bone was identified as the foreign body lodged in the omentum.
  • Histological analysis confirmed Actinomyces involvement.

Conclusions:

  • Abdominal actinomycosis, particularly from foreign body ingestion, presents diagnostic challenges.
  • Surgical resection and histological examination are crucial for accurate diagnosis and management.
  • This case underscores the importance of considering unusual etiologies in abdominal pathologies.
Keywords:
Abdominal actinomycosisAbdominal massActinomycesFish boneMesenteric panniculitis

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