Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
November 2013 Vol. 2(11), pp. 247-251
Copyright © 2013 Global Advanced Research Journals

 

Case Report

Abdomino-pelvic actinomycosis of urachal remnant mimicking lower abdominal tumour

Awe J.A.A1 and Soliman AM2

1Associate Professor of Surgery and Consultant General Surgeon, Department of Surgery, College of Health Sciences, Igbinedion University, Okada, Edo State. Nigeria.
2Senior Surgical Registrar, Northern Area Armed Forces Hospital, King Khalid Military City, P.O. Box 10018, Hafr Al-Batin 31991, Saudi Arabia.

*Corresponding Author E-mail: doset2007@yahoo.com

Accepted 18 November, 2013

Abstract

Abdominal-pelvic actinomycosis constitutes three percent (3%) of all human actinomycotic infections. It is usually insidious, and is one of the great imitators in clinical practice, particularly when it occurs in abdominal cavity and one is struck by the frequency with which actinomycotic lesions are diagnosed to be diverticulitis, abscesses, inflammatory bowel disease or even a neoplasm. We report a case of urachal actinomycosis that presented with a progressively enlarging infraumbilical mass associated with infraumbilical discharge. Ultrasound and CT scan examinations of the abdomen and pelvis revealed an heterogenous mass extending through and through intraperitoneal to extraperitoneal planes with bowel loops adherent to this mass on its intra-peritoneal side. Gas filled spaces were also apparent within the mass. A provisional differential diagnosis of an inflammatory bowel disease, tumour of abdominal wall, chronic infections such as tuberculosis or actinomycosis was made. All the involved bowels with partial cystectomy and involved abdominal wall were resected. The pathologic examination revealed actinomycosis. The patient was treated with penicillin and no recurrence was noted on postoperative follow-up. The case is therefore presented to raise the awareness of this rare condition, to be included in the differential diagnosis of an abdominal or abdomino-pelvic mass.

Keywords: Actinomycosis, Abdomen, Pelvis, Tumour.

 

Related Articles


Original Research Article
Julius AA Awe and Soliman AM
Abdominal trauma: A five year experience in a military hospital
Glo. Adv. Res. J. Med. Med. Sci. August 2013 Vol: 2(8): - [Abstract] [Full Text - PDF] (189 KB)
Case Report
Yakup Yesilkaya, Bozkurt Gulek, Turgut Tokmak
Isolated splenıc hydatıd cyst as a rare cause of abdomınal paın
Glo. Adv. Res. J. Med. Med. Sci. January 2013 Vol: 2(1): - [Abstract] [Full Text - PDF] (215 KB)
Original Research Articles
Enow Orock GE, Verla VS, Ashuntantang GE, Ndom P, and Doh AS
Kaposi Sarcoma: A review of 387 cases seen in Yaounde, Cameroon
Glo. Adv. Res. J. Med. Med. Sci. September 2013 Vol: 2(9): - [Abstract] [Full Text - PDF] (517 KB)
Fernando Mejia Sanchez, Marisol Rodríguez Albarrán, J. Amado López Arriaga and Julieta Castillo Cadena
Heterogeneity of GST enzymatic activity before and after treatment in patients with breast cancer: pilot study
Glo. Adv. Res. J. Med. Med. Sci. July 2017 Vol: 6(7): - [Abstract] [Full Text - PDF] (311 KB)
Case Report
Mbata GC, Chukwuocha C, Nwadike VU, Egejuru RO, Nweke IG and Ibiam FA
Abdominal tuberculosis: Often an eluded diagnosis
Glo. Adv. Res. J. Med. Med. Sci. September 2013 Vol: 2(9): - [Abstract] [Full Text - PDF] (683 KB)
Original Research Article
Awadia Gareeballah, Ikhlas Abdelaziz Hassan, Maisa Elzaki, Sura Salah Ibraheem, Babiker Abelwahab, Afraa Siddig and Salah Ali
Measurement of Normal Portal Vein using Ultrasound in Sudanese
Glo. Adv. Res. J. Med. Med. Sci. December 2017 Vol: 6(12): - [Abstract] [Full Text - PDF] (127 KB)

Current Issue

Viewing Options

View Full Article - PDF
Download Full Article - PDF

Search for Articles

Awe JAA on Google Scholar
Awe JAA on Pubmed
Soliman AM on Google Scholar
Soliman AM on Pubmed

Statistics

Viewed 1097
Printed 416
Downloaded 943
Powered By iPortal Works