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:

Accepted 18 November, 2013


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 Articles
Farnaz Rahbarzare, Elham Eslahi, Nazafarin Hatami-Mazinani, Elham Magharehabed, Mahsa Aliqanbari, Niloofar Ahmadi, Shabnam Naderifar, Mona Mirgeloybayat, Hamed Hojatian, Mojdeh Naeima and Soha Sadeghi
Study of the side effects of Docetaxel as chemotherapy medicine on changing the expression of genes of Enterococcus faecalis isolated from patients with breast cancer
Glo. Adv. Res. J. Med. Med. Sci. January 2019 Vol: 8(1): - [Abstract] [Full Text - PDF] (158 KB)
Ana Cristina Baetas, Luís Fábio dos Santos Gomes, Ana Paula Drummond Rodrigues, Luís Antônio Loureiro Maués, Maria Elena Crespo-Lopez, Barbarella de Matos Macchi, Edilene Oliveira Silva, Mara Sílvia Pinheiro Arruda and José Luiz Martins Do Nascimento
In vitro cytotoxicity of lignans isolated from Ficus citrifolia P.Miller (Moraceae) on C6 glioma cell line
Glo. Adv. Res. J. Med. Med. Sci. April 2018 Vol: 7(4): - [Abstract] [Full Text - PDF] (408 KB)
Ariel Strazza, Daniela R Montagna, Mónica Aixala, Roberto P Meiss, Paula Chiarella and Raúl A Ruggiero
Revisiting the phenomenon of concomitant tumor resistance and its impact on established metastases of murine and human origin
Glo. Adv. Res. J. Med. Med. Sci. December 2017 Vol: 6(12): - [Abstract] [Full Text - PDF] (181 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
Caroline Edward Ayad, Ayman El-Mesellamy and Elsafi Ahmed Abdalla
Diagnosis of Pseudo Hermaphrodite by MRI: A Case Report
Glo. Adv. Res. J. Med. Med. Sci. July 2014 Vol: 3(7): - [Abstract] [Full Text - PDF] (167 KB)
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)

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


Viewed 2321
Printed 631
Downloaded 1611
Powered By iPortal Works