DOI: http://dx.doi.org/10.18203/2349-2902.isj20193005

A rare case of cecal actinomycosis presenting as cecal mass with appendicular perforation

Dhiraj D. Sagrule, Mukteshwar N. Deshmukh, Sunil M. Lanjewar, Rohit Chauhan

Abstract


Actinomycosis of colon is an uncommon disease. It is a chronic granulomatous disease caused by Actinomyces species. The ileo-cecal region is most commonly affected, while the left side of the colon is more rarely involved. Presentation may vary from nonspecific symptoms and signs to an acute abdomen. It may mimic colonic malignancy, obstruction or perforated viscera. Preoperative diagnosis is rare and is established only in less than 10% of cases. We report a very rare case of cecal actinomycosis presenting as acute abdomen with a vague lump in right iliac fossa which was found to be appendicular perforation with cecal mass during emergency laparotomy. The final diagnosis was only found post-operatively on histopathology.


Keywords


Actinomycosis, Antibiotics, Appendicular perforation, Cecal mass, Pus culture sensitivity

Full Text:

PDF

References


Cintron JR, Del Pino A, Duarte B, Wood D: Abdominal Actinomycosis. Report of two cases and review of literature. Dis Col Rectum. 1996;39(1):105-8.

Ferrari TC, Couto CA, Murta-Oliveira C, Conceicao SA, Silva RG. Actinomycosis of the colon: a rare form of presentation. Scand J Gastroenterol. 2000;35(1):108-9.

Koren R, Dekel Y, Ramadan E, Veltman V, Dreznik V. Periappendiceal Actinomycosis mimicking malignancy. Report of a case. Pathol Res Pract. 2002;198(6):441-3.

Deshmukh N, Heaney SJ. Actinomycosis at multiple colonic sites. Am J Gastroenterol. 1986;81(12):1212-4.

Pascal RR. Dysplasia and early carcinoma in inflammatory bowel disease and colorectal adenomas. Hum Pathol. 1994, 25(11):1160-71.

Berchtenbreiter C, Bruning R, Auernhammer A, Reiser M. Misleading diagnosis of retro peritoneal Actinomycosis. Eur Radiol. 1999;9(9):1869-72.

Molnar T, Nagy A, Ligeti E, Gyulai C, Marton J, Nagy F. Abdominal Actinomycosis presenting as a malignant tumor -report of a case and review of the literature. Orv Hetil. 1999;140(44):2453-6.

Ha HK, Lee HJ, Kim H, Ro HJ: Abdominal Actinomycosis: CT findings in 10 patients. AJR Am J Roentgenol. 1993;161(4):791-4.