scholarly journals Large Bowel Obstruction in a Young Woman Simulating a Malignant Neoplasm: A Case Report ofActinomycesInfection

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
R. Nissi ◽  
R. B. Blanco Sequeiros ◽  
E. Lappi-Blanco ◽  
H. Karjula ◽  
A. Talvensaari-Mattila
Keyword(s):  
Early Recognition ◽  
Intrauterine Device ◽  
Abdominal Mass ◽  
Malignant Neoplasm ◽  
Large Bowel Obstruction ◽  
Diagnostic Process ◽  
Surgical Operation ◽  
Abdominal Actinomycosis ◽  
Pelvic Actinomycosis ◽  
Uncertain Etiology

Pelvic and intra-abdominal Actinomycosis can be difficult to diagnose preoperatively and it may also mimic many other diseases, including malignancies. We present a patient with pelvic Actinomycosis probably caused by a long-standing intrauterine device (IUD). We emphasize the challenges in diagnostic process and stress that though a rare disease, intra-abdominal Actinomycosis should be suspected in cases with intra-abdominal mass of uncertain etiology. The early recognition may spare the patient from extensive surgical operation.

scholarly journals Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Teresa Pusiol ◽  
Doriana Morichetti ◽  
Corrado Pedrazzani ◽  
Francesco Ricci
Keyword(s):  
Intrauterine Device ◽  
Periodic Acid ◽  
Malignant Neoplasm ◽  
Pelvic Mass ◽  
Psoas Muscle ◽  
Distal Ileum ◽  
Retroperitoneal Mass ◽  
Diagnostic Challenge ◽  
Periodic Acid Schiff ◽  
Pelvic Actinomycosis

Abdominal-pelvic actinomycosis is often mistaken for other conditions, presenting a preoperative diagnostic challenge. In a 46-year-old female, computed tomography showed an abdominal-pelvic retroperitoneal mass extending from the lower pole of the right kidney to the lower pelvis. The patient had a 3-year history of intrauterine device. The mass appeared to involve the ascending colon, cecum, distal ileum, right Fallopian tube and ovary, and ureter anteriorly and the psoas muscle posteriorly. The resection of retroperitoneal mass, distal ileum appendicectomy, right hemicolectomy, and right salpingo-oophorectomy was performed. The postoperative period was uneventful. Penicillin therapy was given for six months without any complication. The retroperitoneal mass measured 4.5 × 3.5 × 3 cm, surrounded adjacent organs and histologically showed inflammatory granulomatous tissue, agglomeration of filaments, and sulfur granules ofActinomyces, with positive reaction with periodic acid Schiff. Right tubo-ovarian abscess was present. Abdominalpelvic actinomycosis should always be considered in patients with a pelvic mass especially in ones using intrauterine device.

Pelvic Actinomycosis Simulating a Malignant Neoplasm: Case Report and Review of the Literature

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Neha Gahalot ◽  
Ava Desai ◽  
Bijal Patel ◽  
Chetna Parekh ◽  
Shilpa Patel ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Neoplasm ◽  
Review Of The Literature ◽  
Pelvic Actinomycosis

Pelvic Actinomycosis Associated with an Intrauterine Device

2007 ◽  
Vol 23 (4) ◽  
pp. 143-146 ◽  
Author(s):  
Krishna Dahiya ◽  
Kunica Chechi ◽  
Damyanti Sharma ◽  
Daya Sirohiwal ◽  
Satyavir Mathur ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Pelvic Actinomycosis

scholarly journals Atypical Presentation of Intestinal Intussusception Caused by Insidious Inflammatory Myofibroblastic Tumor of the Bowel Wall

2017 ◽  
Vol 102 (7-8) ◽  
pp. 345-350
Author(s):  
Shuo Dong ◽  
Xiaoying Xie ◽  
Linsheng Zhao ◽  
Guanghua Pei
Keyword(s):  
Physical Examination ◽  
Inflammatory Myofibroblastic Tumor ◽  
Bowel Wall ◽  
Early Recognition ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Case Presentation ◽  
Intestinal Intussusception ◽  
Chinese Girl ◽  
Operative Findings

Introduction: Inflammatory myofibroblastic tumor (IMT) is a rare but real tumor, which is histologically characterized by myofibroblastic spindle cells proliferation with inflammatory infiltrate. The lung is the most common affected organ, and extrapulmonary IMTs are less common. However, IMT seldom presents in the gastrointestinal tract, and intussusception is a rare complication of this tumor. Case presentation: We documented this rare case of a 12-year-old Chinese girl presenting with abdominal pain. The clinical and radiologic impression was bowel intussusception and bowel obstruction. No sign of abdominal mass was found before surgery, neither physical examination nor radiologic images. Operative findings revealed intestinal intussusception secondary to a little mass. Histopathlogic evaluation of this mass revealed IMT. Conclusion: In conclusion, IMT may present with bowel intussusception. However, at the intestinal location, the tumor may be found as an abdominal mass or may be insidious; hence, detailed history, physical examination, and imaging studies are necessary for early recognition and diagnosis.

Abdominal Pain and Abdominal Mass

2018 ◽  
Author(s):  
Blake D. Babcock ◽  
Alexander E. Poor ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

Case 85: Pelvic Actinomycosis in Association with an Intrauterine Device

Radiology ◽  
2005 ◽  
Vol 236 (2) ◽  
pp. 492-494 ◽  
Author(s):  
Rutger J. Lely ◽  
Hendrik W. van Es
Keyword(s):  
Intrauterine Device ◽  
Pelvic Actinomycosis

scholarly journals Intra-Abdominal Actinomycosis Mimicking Malignant Abdominal Disease

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Ridha ◽  
Njideka Oguejiofor ◽  
Sarah Al-Abayechi ◽  
Emmanuel Njoku
Keyword(s):  
Abdominal Mass ◽  
Anaerobic Bacteria ◽  
High Dose ◽  
Oral Antibiotic ◽  
Gram Positive ◽  
Palpable Mass ◽  
Ct Guided ◽  
Abdominal Actinomycosis ◽  
Abdominal Disease ◽  
Normal White Blood Cell

Abdominal actinomycosis is a rare infectious disease, caused by gram positive anaerobic bacteria, that may appear as an abdominal mass and/or abscess (Wagenlehner et al. 2003). This paper presents an unusual case of a hemodynamically stable 80-year-old man who presented to the emergency department with 4 weeks of worsening abdominal pain and swelling. He also complains of a 20-bound weight loss in 2 months. A large tender palpable mass in the right upper quadrant was noted on physical exam. Laboratory studies showed a normal white blood cell count, slightly decreased hemoglobin and hematocrit, and mildly elevated total bilirubin and alkaline phosphatase. A CT with contrast was done and showed a liver mass. Radiology and general surgery suspected malignancy and recommended CT guided biopsy. The sample revealed abundant neutrophils and gram positive rods. Cytology was negative for malignancy and cultures eventually grew actinomyces. High dose IV penicillin therapy was given for 4 weeks and with appropriate response transitioned to oral antibiotic for 9 months with complete resolution of symptoms.

scholarly journals Back-to-basics of hemangiosarcoma of face and scalp: a case report

2020 ◽  
Vol 4 (1) ◽  
pp. 20-21
Author(s):  
Bruno de Oliveira Rocha
Keyword(s):  
Histopathological Examination ◽  
Early Recognition ◽  
Lymphatic Vessels ◽  
Malignant Neoplasm ◽  
Collagen Fibers ◽  
Vascular Origin ◽  
The Face ◽  
History Of ◽  
Caucasian Patients ◽  
Hyaline Globules

Introduction: Hemangiosarcoma is a rare vascular malignant neoplasm. Diagnosis is based on both clinical and histopathological features. Case Presentation: An 85-years-old white man presented with a 1-year history of progressive lesions on face and scalp. Physical examination revealed violaceous infiltrative plaques, with ulceration and bleeding, on the face and scalp, associated to numerous violaceous satellites papules. Histopathological examination revealed a neoplastic proliferation represented by slit-like anastomosing vascular channels that dissociated collagen fibers in the dermis, lined by atypical endothelium with moderately hyperchromatic and pleomorphic nuclei. Diagnostic conclusion was cutaneous angiosarcoma. Conclusions: Cutaneous angiosarcoma most often affects males (2:1), mostly Caucasian patients over 70 years old. It may originate from blood or lymphatic vessels. The most common form affects the face and scalp. There are varying degrees of cellular atypia, anastomosing slit-like channels, dissociation of collagen fibers, occasional hyaline globules and areas of hemorrhage. Immunohistochemistry confirmed blood vascular origin with diffuse positivity for CD34 and focally diffuse for factor VIII. We emphasize the need of clinicopathological correlation for early recognition and treatment.

Sign in / Sign up

Export Citation Format

Share Document