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Incarcerated umbilical hernia as the debut of abdominal actinomycosis.
Cir Cir. 2012 Jan-Feb; 80(1):76-80.CC

Abstract

BACKGROUND

Abdominal actinomycosis is a rare infection with a difficult diagnosis that can simulate multiple surgical scenarios such as neoplasms or complications of inflammatory bowel disease.

CLINICAL CASE

We present the case of a 69-year-old female who underwent emergency surgery due to a difficult and painful tumor, suggesting an incarcerated umbilical hernia. Whitish lesions were discovered in the abdominal wall and a stenotic colonic mass was managed similar to a neoplasm. Anatomopathological study showed abdominal actinomycosis, requiring a lengthy course with penicillin.

CONCLUSION

Actinomycosis infection is a chronic disease with granulomatous lesions and areas of fibrosis. Its incidence is increasing and the location usually is cervicofacial. The great challenge of this pathology lies in the diagnosis because it simulates different diseases of diverse natures. This type of infection can be treated successfully with drugs if the etiology is identified in a timely manner. However, in the case of our patient, the manner of presentation made diagnosis more difficult prior to surgical trauma.

Authors+Show Affiliations

Cirugía General, Hospital Universitario Reina Sofía, Córdoba, Spain. rafaorti@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22472158

Citation

Orti-Rodríguez, Rafael José, et al. "Incarcerated Umbilical Hernia as the Debut of Abdominal Actinomycosis." Cirugia Y Cirujanos, vol. 80, no. 1, 2012, pp. 76-80.
Orti-Rodríguez RJ, Díaz-Nieto R, Villar-Pastor CM, et al. Incarcerated umbilical hernia as the debut of abdominal actinomycosis. Cir Cir. 2012;80(1):76-80.
Orti-Rodríguez, R. J., Díaz-Nieto, R., Villar-Pastor, C. M., Lasso-Betancor, C. E., Alonso-Gómez, J., & Rufián-Peña, S. (2012). Incarcerated umbilical hernia as the debut of abdominal actinomycosis. Cirugia Y Cirujanos, 80(1), 76-80.
Orti-Rodríguez RJ, et al. Incarcerated Umbilical Hernia as the Debut of Abdominal Actinomycosis. Cir Cir. 2012 Jan-Feb;80(1):76-80. PubMed PMID: 22472158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incarcerated umbilical hernia as the debut of abdominal actinomycosis. AU - Orti-Rodríguez,Rafael José, AU - Díaz-Nieto,Rafael, AU - Villar-Pastor,Carlos Manuel, AU - Lasso-Betancor,Chelsy Eduvigis, AU - Alonso-Gómez,Jaime, AU - Rufián-Peña,Sebastián, PY - 2012/4/5/entrez PY - 2012/4/5/pubmed PY - 2012/7/28/medline SP - 76 EP - 80 JF - Cirugia y cirujanos JO - Cir Cir VL - 80 IS - 1 N2 - BACKGROUND: Abdominal actinomycosis is a rare infection with a difficult diagnosis that can simulate multiple surgical scenarios such as neoplasms or complications of inflammatory bowel disease. CLINICAL CASE: We present the case of a 69-year-old female who underwent emergency surgery due to a difficult and painful tumor, suggesting an incarcerated umbilical hernia. Whitish lesions were discovered in the abdominal wall and a stenotic colonic mass was managed similar to a neoplasm. Anatomopathological study showed abdominal actinomycosis, requiring a lengthy course with penicillin. CONCLUSION: Actinomycosis infection is a chronic disease with granulomatous lesions and areas of fibrosis. Its incidence is increasing and the location usually is cervicofacial. The great challenge of this pathology lies in the diagnosis because it simulates different diseases of diverse natures. This type of infection can be treated successfully with drugs if the etiology is identified in a timely manner. However, in the case of our patient, the manner of presentation made diagnosis more difficult prior to surgical trauma. SN - 2444-054X UR - https://www.unboundmedicine.com/medline/citation/22472158/Incarcerated_umbilical_hernia_as_the_debut_of_abdominal_actinomycosis_ L2 - http://www.diseaseinfosearch.org/result/414 DB - PRIME DP - Unbound Medicine ER -