Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 May 5;2021(5):rjab171.
doi: 10.1093/jscr/rjab171. eCollection 2021 May.

Case report: actinomycosis of the abdominal wall

Mario Tarzi  1 , Alma Douedari  1 , Rama Aldakhil  1 , Aghyad Kudra Danial  2 , Ahmad Al-Haj  2
Affiliations
Case Reports

Case report: actinomycosis of the abdominal wall

Mario Tarzi et al. J Surg Case Rep. .

Abstract

Primary abdominal wall actinomycosis is rare, but even rarer when it comes to intestinal infiltration; it is usually misdiagnosed as a neoplasm in computed tomography till proved otherwise with pathological examination. We report a 59-year-old diabetic male presented with a year-old abdominal wall mass, diagnosed by pathology after surgical excisional biopsy, and treated with penicillin for 6 months. We recommend consideration of actinomycosis in cases of abdominal wall mass, especially in immunocompromised patients, as a differential diagnosis of neoplastic lesions.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The mass after surgical removal. It consisted of the umbilicus, the tumor itself, a part of the omentum and intestines.
Figure 2
Figure 2
CT scan of the tumor as it shows infiltration to adjacent structures and attachment to the anterior abdominal wall.
Figure 3
Figure 3
Gross anatomical view of the mass after dissection; note the jelly substance in the middle.
Figure 4
Figure 4
Microscopic evaluation of the tumor specimen.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Simpson RS, Read RC. Nocardiosis and actinomycosis. Medicine 2014;42:23–5.
    1. Yeguez JF, Martinez SA, Sands LR, Hellinger MD. Pelvic actinomycosis presenting as malignant large bowel obstruction: a case report and a review of the literature. Am Surg 2000;66:85. - PubMed
    1. García García JC, Núñez Fernández MJ, Cerqueiro González JM, García Martín C, Rodríguez García JC, Anibarro García L., et al. . Primary actinomycosis of the abdominal wall. Description of 2 cases and review of the literature. An Med Interna 2001;18:80–3. - PubMed
    1. Hamid D, Baldauf JJ, Cuenin C, Ritter J. Treatment strategy for pelvic actinomycosis: case report and review of the literature. Eur J Obstet Gynecol Reprod Biol 2000;89:197–200. - PubMed
    1. Gupta SK, Shukla VK, Khanna SS. Primary actinomycotic mycetoma of the anterior abdominal wall (a case report). J Postgrad Med 1990;36:175. - PubMed

Publication types

LinkOut - more resources