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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Three-dimensional Location Approach with Silk Thread Guided Laparoscopic Segmentectomy for Liver Tumor
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Abdominal actinomycosis mimicking malignancy: A case report.

Hany Eskarous1, Adhvithi Pingili2, Darshine Venugopal3

  • 1Temple University Hospital, 3401 N Broad St, Philadelphia, PA 19140, USA.

Idcases
|August 25, 2021
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Actinomycosis, a rare bacterial infection, can mimic abdominal cancer. Early diagnosis and treatment with antibiotics are crucial for managing this condition and preventing complications.

Keywords:
AbscessActinomycesActinomycosisMalignancy

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Medical Imaging

Background:

  • Actinomycosis is a bacterial infection caused by Actinomyces bacilli.
  • Abdominal actinomycosis can present with symptoms mimicking intra-abdominal malignancies, including chronic pain and weight loss.
  • Computed tomography (CT) is essential for diagnosing abdominal actinomycosis.

Observation:

  • An 88-year-old female presented with chronic abdominal pain and weight loss, initially without a palpable mass.
  • CT imaging revealed multiple intra-abdominal soft tissue masses in the omentum, abdominal wall, and mesentery.
  • Biopsy identified filamentous bacilli consistent with Actinomyces.

Findings:

  • The patient received prolonged antimicrobial therapy and underwent CT-guided aspirations for recurrent abscesses.
  • Surgical intervention was performed for a sigmoid stricture.
  • Subsequent imaging demonstrated significant improvement in the abdominal masses.

Implications:

  • This case underscores the importance of considering Actinomycosis in the differential diagnosis of malignancy-like abdominal symptoms.
  • Prompt recognition and management of Actinomycosis are vital for successful patient outcomes.
  • Multimodal treatment, including antibiotics, drainage, and surgery, may be necessary for complex cases.