Periappendiceal actinomycosis mimicking malignancy report of a case

Pathol Res Pract. 2002;198(6):441-3. doi: 10.1078/0344-0338-00279.

Abstract

A case of a periappendiceal actinomycosis, seen in an 83-year-old woman, clinically mimicking a right ovarian neoplasm penetrating the right colon, is presented. The patient's complaints led to the discovery of a right abdominal mass. Explorative laparotomy and right hemicolectomy were done. Histological examination revealed periappendiceal actinomycotic abscesses. We discuss a possible pathogenesis and the therapeutic modalities.

Publication types

  • Case Reports

MeSH terms

  • Abscess / microbiology
  • Abscess / pathology
  • Actinomyces / isolation & purification*
  • Actinomyces / pathogenicity
  • Actinomycosis / complications
  • Actinomycosis / diagnosis*
  • Actinomycosis / therapy
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Appendectomy
  • Appendix / pathology*
  • Cecal Diseases / diagnosis*
  • Cecal Diseases / microbiology
  • Cecal Diseases / therapy
  • Cefotaxime / therapeutic use
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Female
  • Humans
  • Metronidazole / therapeutic use
  • Ovarian Neoplasms / diagnosis*
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Metronidazole
  • Cefotaxime