Abstract

GARCIA GARCIA, J. C. et al. Primary actinomycosis of abdominal wall: Report of 2 cases and literature review. An. Med. Interna (Madrid) [online]. 2001, vol.18, n.2, pp.36-39. ISSN 0212-7199.

We report two cases of isolated abdominal wall actinomycosis and review 18 previously reported cases to further characterize the clinical findings and the therapeutic management of this syndrome. This diagnosis would be advocated in patients with a palpable abdominal mass of subacute appearance with a previous history of digestive medical illness, diabetes, abdominal surgery, or prolonged IUD use. In contrast with other actynomicosis locations, remarkable data were a more elevated mean age of patients; a female predominance; a prevalent location of mass in abdominal lower left quadrant; and a shorter duration of symptomatology before to diagnosis. The CT is the first choice for imaging study and percutaneos needle aspiration would be recommended for definite diagnosis. The long-term antibiotic therapy, with or without percutaneous drainage, is the first treatment choice because is very effective and made unnecessary a more invasive surgical management. The prognosis is excellent with adecuated treatment.

Keywords : Actinomycosis primary abdominal wall.

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