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Primary hepatic actinomycosis.
Med Princ Pract. 2010; 19(3):196-9.MP

Abstract

OBJECTIVES

To present a case of primary hepatic actinomycosis.

CLINICAL PRESENTATION

A-40-year-old man was admitted to the general surgery clinic with a 1-month history of abdominal pain and weight loss. Liver transaminase, bilirubin levels and white blood cell counts were increased. Abdominal ultrasound and CT revealed cystic lesions with necrotic debris involving the posterior segment of the right lobe of the liver and the medial segment of the left lobe.

INTERVENTION

The patient underwent surgery under general anesthesia. On exploration, three cavities were found within the liver containing necrotic material. Surgical debridement and drainage was performed. Histopathological examination revealed actinomycotic colonies with a surrounding suppurative granulomatous reaction. The patient was treated with penicillin for 3 months.

CONCLUSION

This case showed that histological examination of biopsy or surgical material or anaerobic cultures was needed for definitive diagnosis and that hepatic actinomycosis should be included in the differential diagnosis of solitary or multiple hypodense liver lesions.

Authors+Show Affiliations

Department of General Surgery, Faculty of Medicine, Firat University, Elazig, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20357502

Citation

Cetinkaya, Ziya, et al. "Primary Hepatic Actinomycosis." Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, vol. 19, no. 3, 2010, pp. 196-9.
Cetinkaya Z, Kocakoc E, Coskun S, et al. Primary hepatic actinomycosis. Med Princ Pract. 2010;19(3):196-9.
Cetinkaya, Z., Kocakoc, E., Coskun, S., & Ozercan, I. H. (2010). Primary hepatic actinomycosis. Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, 19(3), 196-9. https://doi.org/10.1159/000285286
Cetinkaya Z, et al. Primary Hepatic Actinomycosis. Med Princ Pract. 2010;19(3):196-9. PubMed PMID: 20357502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary hepatic actinomycosis. AU - Cetinkaya,Ziya, AU - Kocakoc,Ercan, AU - Coskun,Serdar, AU - Ozercan,Ibrahim Hanefi, Y1 - 2010/03/29/ PY - 2009/02/01/received PY - 2009/07/26/accepted PY - 2010/4/2/entrez PY - 2010/4/2/pubmed PY - 2010/6/23/medline SP - 196 EP - 9 JF - Medical principles and practice : international journal of the Kuwait University, Health Science Centre JO - Med Princ Pract VL - 19 IS - 3 N2 - OBJECTIVES: To present a case of primary hepatic actinomycosis. CLINICAL PRESENTATION: A-40-year-old man was admitted to the general surgery clinic with a 1-month history of abdominal pain and weight loss. Liver transaminase, bilirubin levels and white blood cell counts were increased. Abdominal ultrasound and CT revealed cystic lesions with necrotic debris involving the posterior segment of the right lobe of the liver and the medial segment of the left lobe. INTERVENTION: The patient underwent surgery under general anesthesia. On exploration, three cavities were found within the liver containing necrotic material. Surgical debridement and drainage was performed. Histopathological examination revealed actinomycotic colonies with a surrounding suppurative granulomatous reaction. The patient was treated with penicillin for 3 months. CONCLUSION: This case showed that histological examination of biopsy or surgical material or anaerobic cultures was needed for definitive diagnosis and that hepatic actinomycosis should be included in the differential diagnosis of solitary or multiple hypodense liver lesions. SN - 1423-0151 UR - https://www.unboundmedicine.com/medline/citation/20357502/Primary_hepatic_actinomycosis_ L2 - https://www.karger.com?DOI=10.1159/000285286 DB - PRIME DP - Unbound Medicine ER -