Actinomycosis associated with perforation of jejunum in patient after cholecystectomy--a case report
Fesołowicz, Sławomir.; Kwiatkowski, A.; Chmura, A.
Polski Merkuriusz Lekarski Organ Polskiego Towarzystwa Lekarskiego 29(173): 318-319
2010
ISSN/ISBN: 1426-9686 PMID: 21268917 Document Number: 641882
Actinomyces is endogenic infection with rare abdominal manifestations. Diagnosis is very difficult and not always taken into account in differential diagnosis. Disease is recurrent and treatment is mostly pharmacologic and takes a long time. The aim of the paper was to present a case of patient operated on acute cholecystitis with intraabdominal actinomycosis. The 66 years old patient 28 days after cholecystectomy appeared to have jejunal perforation in the course of actinomycosis. Patient regarded two interventions due to intraabdominal abscesses. Since last discharge, a year ago, we do not observe recurrence. Intraabdominal actinomycosis is often recurrent and should be considered in patients with purulent complications after surgical procedures.