Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review.
10.3349/ymj.2009.50.4.555
- Author:
Myung Min CHOI
1
;
Jeong Heum BEAK
;
Jung Nam LEE
;
Sanghui PARK
;
Won Suk LEE
Author Information
1. Department of Surgery, Gil Medical Center, Gachon University of Medicine and Science, Seoul, Korea. lws@gilhospital.com
- Publication Type:Case Reports ; Review
- Keywords:
Actinomycosis;
surgery;
intrauterine device
- MeSH:
Abdominal Pain/*etiology/microbiology;
Actinomycosis/*diagnosis/pathology;
Adult;
Aged;
Female;
Humans;
Intrauterine Devices;
Male;
Middle Aged;
Peritonitis/pathology/surgery;
Young Adult
- From:Yonsei Medical Journal
2009;50(4):555-559
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Intrabdominal actinomycosis is difficult to diagnose preoperatively. This chronic infection has a propensity to mimic many other diseases and may present with a wide variety of symptoms. The aim of this study was to evaluate the characteristic clinical features with review of the literature. MATERIALS AND METHODS: We retrospectively analyzed 22 patients with intrabdominal actinomycosis between January 2000 and January 2006. RESULTS: There were two men and 20 women with a mean age of 42.8 years (range, 24 - 69). Twelve patients presented with masses or abdominal pain, whereas 3 patients presented with acute appendicitis. The rate of performing an emergency surgery was 50% due to symptoms of peritonitis. The mean size of tumor was 5.5 cm (range, 2.5 - 11.0). Sixty percent (n = 12) of female patients had intrauterine device (IUD). The average time to definite diagnosis was 10.6 days. CONCLUSION: Intrabdominal abdominal actinomycosis must first be suspected in any women with a history of current or recent IUD use who presents abdominal pain. If recognized preoperatively, a limited surgical procedure, may spare the patient from an extensive operation.
