Thoracoabdominal actinomycosis associated with laparoscopic cholecystectomy and mimicking metastatic pulmonary malignancy

is rarely isolated in cases of actinomycosis. We present a case of thoracoabdominal actinomycosis caused by inadvertent enterotomy and gallstone spillage during a laparoscopic cholecystectomy. The actinomycosis initially presented as recurrent episodes of pneumonia, shortness of breath and unintenti...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2022-07, Vol.15 (7), p.e250921
Main Authors: Thapa, Kriti, Sarker, Moumita, Graman, Paul
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Actinomycosis - complications
Actinomycosis - diagnostic imaging
Alcohol use
Anti-Bacterial Agents - therapeutic use
Antibiotics
Biopsy
Case reports
Case Reports: Rare disease
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Diabetes
Diaphragm (Anatomy)
Gallbladder
Gallbladder diseases
Gallstones
Gallstones - complications
Humans
Hypotheses
Infections
Laparoscopy
Lung
Lung cancer
Lung Neoplasms - complications
Medical imaging
Metastasis
Oral hygiene
Pathology
Penicillin
Pneumonia
Risk factors
Sleep apnea
Sulfur
Tomography
Trauma
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:is rarely isolated in cases of actinomycosis. We present a case of thoracoabdominal actinomycosis caused by inadvertent enterotomy and gallstone spillage during a laparoscopic cholecystectomy. The actinomycosis initially presented as recurrent episodes of pneumonia, shortness of breath and unintentional weight loss. Initial CT imaging demonstrated pleural thickening along the right lung base as well as ill-defined consolidation in the right lower lobe. Repeat CT imaging showed progression of the mass-like region of consolidation with extrapulmonary spread to involve the abdomen, retroperitoneum and retrohepatic areas. Treatment involved intravenous antibiotics with concurrent abscess drainage followed by oral antibiotics.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2022-250921