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Actinomycotic cholecystitis

B Arora1, R S Punia, D R Arora

  • 1Department of Pathology, Medical College, Rohtak.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|April 1, 1997
PubMed
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Actinomycotic cholecystitis, a rare gallbladder infection, was diagnosed in a 65-year-old woman. Gram staining revealed actinomycotic colonies in the inflamed gallbladder, confirming the unusual cause of cholelithiasis and perforation.

Area of Science:

  • Medical Microbiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Actinomycotic cholecystitis is an uncommon presentation of Actinomycosis, a bacterial infection.
  • Cholelithiasis and cholecystitis are common conditions, often requiring surgical intervention.

Observation:

  • A 65-year-old woman presented with abdominal pain and vomiting, consistent with cholecystitis.
  • Surgical exploration revealed an inflamed gallbladder with gallstones and a perforation.

Findings:

  • Gram staining of the gallbladder wall demonstrated the presence of Gram-positive actinomycotic colonies.
  • Histopathological examination confirmed actinomycosis as the etiology of the gallbladder disease.

Implications:

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  • This case highlights the importance of considering rare infectious etiologies in gallbladder pathology.
  • Accurate diagnosis of actinomycotic cholecystitis is crucial for appropriate antimicrobial therapy and surgical management.
  • Further research may elucidate the pathogenesis and optimal treatment strategies for this rare condition.