Koray DAŞ, Mehmet ÖZDOĞAN, Ebru MENEKŞE, Faruk KARATEKE, Sefa ÖZYAZICI

Unusual Presentations of Actinomycosis; Anterior Abdominal Wall and Appendix

Background: Primary actinomycosis of the anterior abdominal wall and appendix are very rare clinical entities. An accurate diagnosis is generally obtained by histological examination, and treatment often requires surgical resection.Case Report: In this study we presented two cases of primary actinomycosis involving the anterior abdominal wall and a third one located in the appendix.Conclusion: Actinomyces Israelii can involve all anatomic structures of the abdomen. Although preoperative diagnosis is difficult, the combination of surgery and antibiotic treatment results in complete treatment in the majority of cases.

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1. Harsch IA, Benninger J, Niedobitek G, Schindler G, Schneider HT, Hahn EG, et al. Abdominal actinomycosis: complication of endoscopic stenting in chronic pancreatitis? Endoscopy 2001;33:1065-9. [CrossRef]
2. Seock YL, Ji HL, Seung JL, Cheol SL. Primary Abdominal Wall Actinomycosis. J Med Cases 2012;3:4-6.
3. Schmidt P, Koltai JL, Weltzien A. Actinomycosis of the appendix in childhood. Pediatr Surg Int 1999;15:63-5. [CrossRef]
4. Berardi RS. Abdominal actinomycosis. Surg Gynecol Obstet 1979;149:257-66.
5. Ladurner R, Bogner JR, Drosse I, Volkmer E, Sommerey S, Hohenbleicher F, et al. A rare case of primary actinomycosis of the anterior abdominal wall: diagnosis and treatment. Hernia 2008;12:549-52. [CrossRef]
6. Weese WC, Smith IM. A study of 57 cases of actinomycosis over a 36-year period. A diagnostic 'failure' with good prognosis after treatment. Arch Intern Med 1975;135:1562-8. [CrossRef]
7. Pitot D, De Moor V, Demetter P, Place S, Gelin M, El Nakadi I. Actinomycotic abscess of the anterior abdominal wall: a case report and literature review. Acta Chir Belg 2008;108:471-3.
8. Wagenlehner FM, Mohren B, Naber KG, Männl HF. Abdominal actinomycosis. Clin Microbiol Infect 2003;9:881-5. [CrossRef]
9. 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;2:247-50. [CrossRef]
10. Hefny AF, Joshi S, Saadeldin YA, Fadlalla H, Abu-Zidan FM. Primary anterior abdominal wall actinomycosis.Singapore Med J 2006;47:419-21.
11. Hamid D, Baldauf JJ, Cuenin C, Ritter J. Treatment strategy for pelvic actinomycosis: case report and review of literature. Eur J Obstet Gynecol Reprod Biol 2000;89:197-200. [CrossRef]
12. Nissotakis C, Sakorafas GH, Koureta T, Revelos K, Kassaras G, Peros G. Actinomycosis of the appendix: diagnostic and therapeutic considerations. Int J Infect Dis 2008;12:562-4. [CrossRef]
13. Yiğiter M, Kıyıcı H, Arda IS, Hiçsönmez A. Actinomycosis: a differential diagnosis for appendicitis. A case report and review of the literature. J Pediatr Surg 2007;42:E23-6. [CrossRef]