DOI: http://dx.doi.org/10.18203/2349-2902.isj20210392

Laparoscopic approach of excision of anterior abdominal wall actinomycosis

Satkunan Mark, Mohd Firdaus, Mohd Muselim, Lewellyn Rajakumar

Abstract


Actinomycosis of the abdominal wall is a rare disease. While most of the reported cases are women, we present a 42-year-old male with an abdominal mass for 4 months. Clinical examination of the abdomen revealed a well circumscribed mass in the left iliac fossa. CT abdomen showed an anterior abdominal wall mass with infiltration to the sigmoid colon however colonoscopy ruled out intraluminal origin. In contrast to traditional open approach, a laparoscopic approach was done. The abdominal wall tumour and sigmoid colon was resected en- bloc and continuity restored extra- corporeally through a small incision. Histopathology of the specimen reported an abdominal wall actinomycosis and patient was discharged with antibiotics. Laparoscopic approach was successful as the tumour was small. We therefore conclude that an initial laparoscopic assessment can be advocated and a laparoscopic excision is always possible if the features are favourable.  


Keywords


Actinomycosis, Abdominal wall tumour, Laparoscopic excision

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References


Stojadinovic A, Hoos A, Karpoff HM, Leung DH, Antonescu CR, Brennan MF, et al. Soft tissue tumors of the abdominal wall: analysis of disease patterns and treatment. Arch Surg. 2001;136(1):70-9.

Vilanova JC. WHO classification of soft tissue tumors. In: Vanhoenacker FM, Parizel PM, Gielen JL, eds. Imaging of Soft Tissue Tumors. Cham, Switzerlan: Springer. 2017:187-96.

Zeng WG, Zhou ZX, Liang JW. Prognostic factors for desmoid tumor: A surgical series of 233 patients at a single institution. Tumour Biol. 2014;35:7513- 21.

Rojas Perez- Ezquerra B, Guardia- Dodorico L, Arribas- Marco T, Ania- Lahuerta A, Gonzalez Ballano I, Chipana Salinas M, et al. Actinomicosis de pared abdominal. A proposito de un case. Cir Cir, 2015;83:141-5.

James A. Tankel, Shashank V. Gurjar, Nicholas C. Holford, Sian Williams. Abdominal actinomycosis after laparoscopic cholecystectomy: an uncommon presentation of an uncommon problem. Oxford Medic Case Rep. 2015;2:185–7.

Acquaro P, Tagliabue F, Confalonieri G, Faccioli P, Costa M. Abdominal wall actinomycosis stimulating a malignant neoplasm: Case report and review of the literature. World J Gastrointest Surg. 2010;2(7):247- 50.

Meshikhes AW, Al‐Zahrani H, Ewies T. Laparoscopic excision of abdominal wall desmoid tumor. As J Endoscop Surg. 2016;9(1):79-82.

Hayashi M, Asakuma M, Tsunemi S, Inoue Y, Shimizu T, Komeda K, et al. Surgical treatment for abdominal actinomycosis: a report of two cases. World J Gastrointest Surg. 2010;2(12):405.

La Greca G, Randazzo V,Barbagallo F. Laparoscopic resection of an abdominal wall desmoid using a modified suture traction technique. The ‘marionette trick’. Surg Endosc. 2003;17:2029-30.

Carkman S, Ozben V, Durak H, Karabulut K, Ipek T. Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature. Case Rep Med. 2010;340109.