A case of primary actinomycosis and secondary eumycetoma in anterior abdomen wall – A case report
Actinomycosis of abdomen accounts to only 10-20%. We report a 58-year-old diabetic man who presented with abdomen pain and swelling for 10 days duration associated with fever. Abdominal computed tomography showed a large thick walled peripheral enhancing collection between lateral abdominal wall and capsular surface of right lobe of liver with extension into right lateral abdominal wall muscle at level 12th rib. Laparotomy and peritoneal wash was performed. Intra-operative pus pocket 300 ml drained from 10, 11 and 12th rib site (port site). Histopathological examination of the mass revealed Actinomycosis. The postoperative period was uneventful and the patient recovered completely. The patient received antibiotic course for 2 weeks. Patient presented 5 months later with swelling in right lumbar evaluated showed fungal hyphae (Eumycetoma) and course completed.
2. Gomez-Ramirez J, Martin-Perez E, Alcaide B, Martin-Alvarez JL, Larranaga E. Primary abdominal wall actinomycosis. Cir Esp. 2009;85(4):256-258.[pubmed]
3. Hefny AF, Joshi S, Saadeldin YA, Fadlalla H, Abu-Zidan FM. Primary anterior abdominal wall actinomycosis. Singapore Med J. 2006;47(5):419-421.[pubmed]
4. Acquaro P, Tagliabue F, Confalonieri G, Faccioli P, Costa M. Abdominal wall actinomycosis simulating a malignant neoplasm: Case report and review of the literature. World J Gastrointest Surg. 2010;2(7):247-250.
5. Das N, Lee J, Madden M, Elliot CS, Bateson P, Gilliland R. A rare case of abdominal actinomycosis presenting as an inflammatory pseudotumour. Int J Colorectal Dis. 2006;21(5):483-484.
6. Kawahara M, Kawahara K, Goto T, Yamamoto S, Fuchinoue S, Matsumoto T. Abdominal actinomycosis misdiagnosed as a secondary bladder tumor: a case report. Int J Urol. 1998;5(5):498-500.[pubmed]
7. SeockYeolLeea, c, Ji HyeLeeb, Seung JinLeea, Cheol SaeLeea Primary Abdominal Wall Actinomycosis Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online.[pubmed]
8. Rajesh Subramaniam, Shruthikamal Venkat, Reshma Sattar Coexistence of eumycetoma and tuberculosis in a same lesion in right thigh in an adult: a rare case report pISSN 2349-3305 | eISSN 2349-2902.