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Case Reports
. 2020 Dec 31;12(12):e12413.
doi: 10.7759/cureus.12413.

Hepatobiliary Actinomycosis, a Rare Presentation of a Rare Disease!

Iayla Fatima  1 , Frederick Pretorius  2 , Stefan Botes  2 , Rachel Swanwick  2
Affiliations
Case Reports

Hepatobiliary Actinomycosis, a Rare Presentation of a Rare Disease!

Iayla Fatima et al. Cureus. .

Abstract

Actinomycosis is a chronic granulomatous infection caused by opportunistic bacteria, Actinomyces. These bacteria lack virulence and cause disease when there is a breach in the integrity of the mucosa. Diagnosis of Actinomycosis is challenging and less than 10% of abdominopelvic cases are diagnosed preoperatively. The treatment involves prolonged course of antibiotics with or without removal of tissue. In this case report we will present a case of hepatobiliary actinomycosis which was managed by a combination of both surgical and medical treatment.

Keywords: actinomyces; actinomycosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Ultrasound image of gallbladder (A) and common bile duct (B) shows intrahepatic duct dilation (red arrow), thickened gallbladder wall (blue arrow), dilated common bile duct with no filling defect (green arrow). Measurement of common bile duct is illustrated by '+'
Figure 2
Figure 2. MRI showing dilated common bile duct with no filling defect (blue arrow).
See this image and copyright information in PMC

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